Implantable Cardioverter Defibrillator Tachycardia Therapies: Past, Present and Future Directions.

Autor: Leong AM; National Heart and Lung Institute, Imperial College London, London SW3 6LY, UK., Arnold AD; National Heart and Lung Institute, Imperial College London, London SW3 6LY, UK., Whinnett ZI; National Heart and Lung Institute, Imperial College London, London SW3 6LY, UK.
Jazyk: angličtina
Zdroj: Journal of cardiovascular development and disease [J Cardiovasc Dev Dis] 2024 Mar 20; Vol. 11 (3). Date of Electronic Publication: 2024 Mar 20.
DOI: 10.3390/jcdd11030092
Abstrakt: Implantable cardioverter defibrillators (ICDs) have a long history and have progressed significantly since the 1980s. They have become an essential part of the prevention of sudden cardiac death, with a proven survival benefit in selected patient groups. However, with more recent trials and with the introduction of contemporary heart failure therapy, there is a renewed interest and new questions regarding the role of a primary prevention ICD, especially in patients with heart failure of non-ischaemic aetiology. This review looks at the history and evolution of ICDs, appraises the traditional evidence for ICDs and looks at issues relating to patient selection, risk stratification, competing risk, future directions and a proposed contemporary ICD decision framework.
Databáze: MEDLINE