Debate: Do all patients with heart failure require implantable defibrillators to prevent sudden death?

Autor: Marchlinski Francis E, Jessup Mariell L, Hsia Henry H
Jazyk: angličtina
Rok vydání: 2000
Předmět:
Zdroj: Current Controlled Trials in Cardiovascular Medicine, Vol 1, Iss 2, Pp 98-101 (2000)
Druh dokumentu: article
ISSN: 1468-6708
DOI: 10.1186/cvm-1-2-098
Popis: Abstract Sudden death is a major cause of mortality in patients with ventricular dysfunction. The highest risk occurs among patients with less severe functional impairment. Current methods of risk stratification are inadequate, and a rational therapy for prevention of sudden death is not available. The implantable cardioverter-defibrillator (ICD) has proven to be more effective than drugs in reducing sudden-death risk in some subsets of patients. Empiric ICD therapy, targeting the general population with mild to moderate heart failure, will maximize the impact of such a strategy to prevent sudden death and improve long-term survival.
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