ICD Implantation Practice Within Europe: How To Explain The Differences Beyond Economy?

Autor: Stella BM; Cardiovascular Division - Camposampiero P. Cosma Hospital., Alessandro Z; Department of Cardiac, Thoracic and Vascular Sciences - University of Padova.
Jazyk: angličtina
Zdroj: Journal of atrial fibrillation [J Atr Fibrillation] 2015 Oct 31; Vol. 8 (3), pp. 1262. Date of Electronic Publication: 2015 Oct 31 (Print Publication: 2015).
DOI: 10.4022/jafib.1262
Abstrakt: Implantable cardioverter defibrillators (ICD) offer the potential to prevent sudden cardiac death and demonstrated a survival benefit in high risk cardiac patients. ICD implantation rates vary significantly throughout the countries all over Europe although there are no major differences in cardiovascular morbidity among countries. ICD implantation rates in each European country may be influenced by economic factors, including the gross domestic product, its percentage devoted to public health, and organization of the health system. However, ICD implantation rates vary substantially also among countries with a high gross domestic product. Beyond economy, other important factors that may influence ICD implantation rates are lack of guidelines awareness and poor guidelines adherence especially when treating specific subgroup of patients (such as elderly and those with non ischemic cardiomyopathies).
Databáze: MEDLINE