January 1, 2002Current Opinion in Cardiology
Advances in implantable cardioverter defibrillators
Population
Patients who have had a cardiac arrest or are at risk for life-threatening ventricular arrhythmias…
Design
Review
Authors
Discussion
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Implication
May support expanded ICD use with CRT in select HF patients; leaves open need for trials on advanced arrhythmia classification algorithms.
Key Points
- The aim is to evaluate the advancements and efficacy of implantable cardioverter defibrillators (ICDs) for patients at risk of life-threatening arrhythmias.
- Clinical trials assessed the effectiveness of ICDs in patients with sustained ventricular arrhythmias.
- Technological advancements in ICDs include increased functionality and ease of placement.
- Assessment of arrhythmia classification and electrogram storage improvements was included.
- ICDs have been expanded to include patients with coronary artery disease and left ventricular dysfunction.
- Biventricular pacing combined with ICD function showed effectiveness in patients with heart failure and QRS widening.
- Future improvements are expected in arrhythmia classification and automated features of devices.
Structured PICO
P
Population
Patients who have had a cardiac arrest or are at risk for life-threatening ventricular arrhythmias, including those with coronary artery disease, left ventricular dysfunction, nonsustained ventricular tachycardia, and inducible ventricular tachycardia
I
Intervention
Implantable cardioverter defibrillators (ICDs), including dual-chamber and biventricular pacing systems
This review highlights the expanded clinical indications and technological advancements in implantable cardioverter defibrillators, including improved arrhythmia classification and integration with biventricular pacing for heart failure.
Cite This Study
Swygman et al. (2002) studied this question.