Why the study?
Should ICD implantation be used for primary prevention of sudden cardiac death in patients with a systemic right ventricle?
Should ICD implantation be used for primary prevention of sudden cardiac death in patients with a systemic right ventricle?
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Routine ICD implantation for primary prevention in patients with a systemic right ventricle is not currently supported by data and carries known risks.
With the current lack of data a cautious attitude towards ICD implantation for primary prevention of SCD in patients with a systemic ventricle is justified, as we don't know who is actually at risk of SCD, but we do know that we will subject our patients to complications and inappropriate therapy.
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Mulder et al. (2021) studied this question.
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