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Evaluation of implanted cardioverter-defibrillators for primary prevention of sudden cardiac death / 南方医科大学学报
Journal of Southern Medical University ; (12): 1229-1231, 2013.
Article in Chinese | WPRIM | ID: wpr-319440
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the clinical effect of implanted cardioverter-defibrillators (ICD) for primary prevention of sudden cardiac death.</p><p><b>METHODS</b>According to ACC/AHA Guideline of ICD implantation (2005), 35 patients successfully received ICD/CRT-D implantation for primary prevention of sudden cardiac death in our hospital from January 2006 to December 2009. All the patients were followed up for a mean of 2 years.</p><p><b>RESULTS</b>During the follow up, 11 (31.43%) patients experienced ventricular arrhythmic episodes, for which 16 defibrillation therapies and 75 anti-tachycardia pacing (ATP) therapies were delivered without mistaken shock or death. The incidence rate of NVM was 100%, that of PVT was 66.67%, Brugada syndrome 50%, HCM 25% and DCM 16.67%. Of these episodes, the incidence of VF episodes among PVC patients was 87.5% (14 beats), ventricular tachycardia PVC was 82.28% (65 times), 5 beats in NVM patients, 4 beats in HCM and Brugada syndrome patients, and 1 beat in DCM patients. No ICD implantation-related complication was detected, and no ventricular tachycardia induced syncope occurred in these cases. All patients showed improved quality of life after the implantation.</p><p><b>CONCLUSION</b>ICD implantation can prevent malignant ventricular arrhythmia episodes, especially for PVT, NVM and Brugada syndrome in high risk SCD patients, demonstrating the value of implantation of ICD as a primary prevention in high-risk SCD patients.</p>
Subject(s)
Full text: Available Index: WPRIM (Western Pacific) Main subject: Primary Prevention / Epidemiology / Death, Sudden, Cardiac / Defibrillators, Implantable Type of study: Practice guideline Limits: Adult / Aged / Female / Humans / Male Language: Chinese Journal: Journal of Southern Medical University Year: 2013 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Primary Prevention / Epidemiology / Death, Sudden, Cardiac / Defibrillators, Implantable Type of study: Practice guideline Limits: Adult / Aged / Female / Humans / Male Language: Chinese Journal: Journal of Southern Medical University Year: 2013 Type: Article