Complications of Implantable Cardioverter Defibrillator and Their Potential Risk Factors in Patients with Hypertrophic Cardiomyopathy.

Autor: Hedayati Goudarzi MT; Cardiology Department, Rohani Hospital, School of Medicine, Babol University of Medical Sciences, Babol, Iran., Moradi M; Department of Cardiology, Faculty of Medicine, Babol University of Medical Sciences, Babol, Iran., Abrotan S; Cardiology Department, Rohani Hospital, School of Medicine, Babol University of Medical Sciences, Babol, Iran., Saravi M; Department of Cardiology, Faculty of Medicine, Babol University of Medical Sciences, Babol, Iran., Shirafkan H; Social Determinants for Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran., Irilouzadian R; Burn Research Center, Iran University of Medical Sciences, Tehran, Iran., Omran HS; Cardiology Department, Rohani Hospital, School of Medicine, Babol University of Medical Sciences, Babol, Iran.
Jazyk: angličtina
Zdroj: Cardiology research and practice [Cardiol Res Pract] 2023 Nov 13; Vol. 2023, pp. 4552100. Date of Electronic Publication: 2023 Nov 13 (Print Publication: 2023).
DOI: 10.1155/2023/4552100
Abstrakt: Background: Hypertrophic cardiomyopathy (HCM) has different complications such as cardiac arrhythmia and sudden cardiac death (SCD). Insertion of an implantable cardioverter defibrillator (ICD) is recommended for HCM patients who are at high risk of SCD and malignant arrhythmias, despite having their own potential complications. Hypothesis . We aimed to investigate the prevalence of different complications of ICD insertion and the impact of the potential influential baseline characteristics in a one-year follow-up period.
Methods: This was a retrospective study with a total of 71 HCM patients with ICD insertion. We evaluated the prevalence of different complications of ICD implantation and the impact of baseline characteristics on the occurrence of ICD complications using multivariate regression analysis in three 4-month periods.
Results: In a one-year follow-up, 13 patients (18.3%) experienced at least one of the complications including pneumothorax, lead failure, ICD infection, inappropriate shocks, perforation, and upper limb deep vein thrombosis (DVT) with no mortality. Inappropriate shocks were reported as the most common (11.3%) complication during this period, with a gradual increase in the second (4.2%) and third (5.6%) follow-up sessions. Among all of the baseline characteristics that were investigated in this study, a positive history of hypertension was the only risk factor with significant impact on the occurrence of complications ( P  = 0.01).
Conclusion: We demonstrated the occurrence of complications during a one-year follow-up as 18.3% in HCM patients with ICD insertion. A positive history of hypertension was the only baseline characteristic affecting the occurrence of complications, and inappropriate shocks were the most common complication.
Competing Interests: The authors declare that they have no conflicts of interest.
(Copyright © 2023 Mohammad Taghi Hedayati Goudarzi et al.)
Databáze: MEDLINE
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