Key result
Internal cardioverter defibrillator implantation successfully rescued 1 patient with repaired congenital heart disease from spontaneous ventricular tachycardia and hemodynamic collapse.
Why the study?
Does ICD implantation for primary prevention prevent sudden death in adults with repaired congenital heart disease and normal ventricular function?
Case Report (n=1)
Does ICD implantation for primary prevention prevent sudden death in adults with repaired congenital heart disease and normal ventricular function?
ICD implantation for primary prevention may be an appropriate strategy in adults with repaired congenital heart disease, even when ventricular function is normal.
Answers are grounded in this paper and cite their sources.
Case report of ICD rescue does not support primary prevention ICDs; leaves open benefit in repaired congenital heart disease with normal function.
A 21-year-old patient with repaired double-outlet right ventricle and normal ventricular function underwent internal cardioverter defibrillator implantation for primary prevention of sudden death. First occurrence of spontaneous ventricular tachycardia resulted in hemodynamic collapse and syncope but the internal cardioverter defibrillator rescued the patient. ICD implantation for primary prevention may be an appropriate goal in adults with repaired congenital heart disease, even in the setting or normal ventricular function.
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Sueblinvong et al. (2004) conducted a case report in Repaired congenital heart disease (n=1). Internal cardioverter defibrillator (ICD) implantation was evaluated on Rescue from spontaneous ventricular tachycardia and sudden death. Internal cardioverter defibrillator implantation successfully rescued 1 patient with repaired congenital heart disease from spontaneous ventricular tachycardia and hemodynamic collapse.
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