The Relevance of the Primary Prevention Criteria for Implantable Cardioverter Defibrillator Implantation in Korean Symptomatic Severe Heart Failure Patients
JiYeong KIM; Eue-Keun CHOI; Min-Ho LEE; Do-Yoon KANG; Young-Jun SUNG; Dong-Won LEE; Ilyoung OH; Yun-Shik CHOI; Seil OH.
Korean Circulation Journal
; : 173-183, 2012.
Artículo
en Inglés
| WPRIM | ID: wpr-74325
BACKGROUND AND
OBJECTIVES:
Implantable cardioverter defibrillator (ICD) therapy is recommended as the primary tool for prevention of sudden cardiac death (SCD) in symptomatic patients with severe left ventricular dysfunction. There is a paucity of information on whether this recommendation is appropriate for the Korean population with severe heart failure. SUBJECTS ANDMETHODS:
The study group consisted of 275 consecutive patients (mean age 65 years, 71% male) who met the ICD implantation criteria for primary prevention (left ventricular ejection fraction 0.05). All-cause mortality and the incidence of SCD in the NICMP group were comparable to those of the DEFINITE standard therapy group (13% vs. 17%, 6% vs. 6%, respectively, all p>0.05).CONCLUSION:
Korean patients with severe heart failure in both the ICMP and NICMP groups had all-caused mortality and risk of SCD comparable to patients in the MADIT-II and DEFINITE standard therapy groups. Therefore, the primary prevention criteria for ICD implantation would be appropriate in both Korean ICMP and NICMP patients.
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WPRO
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