Implantable cardioverter defibrillator use for primary prevention in ischaemic and non-ischaemic heart disease-indications in the post-DANISH trial era: results of the European Heart Rhythm Association surveyShow others and affiliations
2017 (English)In: Europace, ISSN 1099-5129, E-ISSN 1532-2092, Vol. 19, no 4, p. 660-664Article in journal (Refereed) Published
Abstract [en]
Implantable cardioverter-defibrillator (ICD) is the standard of care for prevention of sudden cardiac death (SCD) in high-risk patients. For primary prevention of SCD, in patients with ischaemic heart disease, there is more robust data on the effect of ICD therapy compared with patients with non-ischaemic heart disease, but current real-life practice may differ substantially. The aim of this European Heart Rhythm Association survey was to evaluate the clinical practice regarding implantation of ICD for primary prevention among European countries in patients with non-ischaemic and ischaemic heart disease. Furthermore, we wanted to investigate the impact of the results of the recently published DANISH trial on clinical practice among European countries. In total, 48 centres from 17 different countries responded to the questionnaire. The majority did not implant ICD for primary prevention on a regular basis in patients with non-ischaemic heart disease despite current guidelines. Also, centres have changed their indications after the recent report on the efficacy of ICD in these patients. In patients with ischaemic heart disease, the guidelines for primary prevention ICD were followed on a regular basis, and no relevant change in indications were reported.
Place, publisher, year, edition, pages
OXFORD UNIV PRESS , 2017. Vol. 19, no 4, p. 660-664
Keyword [en]
Implantable cardioverter-defibrillator, Cardiac resynchronization therapy, Pacing, Sudden cardiac death, Ventricular arrhythmias, Ischemic heart disease, Ischemic cardiomyopathy, Non-ischemic cardiomyopathy, Heart failure, Prevention, EHRA survey, EP wire
National Category
Cardiac and Cardiovascular Systems
Identifiers
URN: urn:nbn:se:uu:diva-324343DOI: 10.1093/europace/eux089ISI: 000400923600029PubMedID: 28431077OAI: oai:DiVA.org:uu-324343DiVA, id: diva2:1110329
2017-06-152017-06-152017-06-15Bibliographically approved