Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
May 23, 2013Heart

Suitability for subcutaneous defibrillator implantation: results based on data from routine clinical practice

View Full Paper
Ask AI
Bookmark
Share

Key result

Among single- or dual-chamber ICD recipients, the cumulative incidence of suitability for an initial subcutaneous ICD implantation was 55.5% (95% CI 52.0-59.0%) after 5 years.

Why the study?

What proportion of current single- or dual-chamber ICD recipients would be suitable for a subcutaneous lead ICD (S-ICD)?

Population

1345 patients who received a single- or dual-chamber ICD between 2002 and 2011, excluding those with a…

Design

Cohort

Follow-up

median 3.4 years (IQR 1.7-5.7 years)

Authors

MBMíhàly K. de BieJTJoep ThijssenJRJohannes B. van Rees

Discussion

Loading...

Member takes

Overview

May support S-ICD eligibility screening in transvenous ICD recipients; leaves open impact on outcomes in prospective studies.

Study Design

Type

Cohort (n=1,345)

Multicenter

No

Structured PICO

What proportion of current single- or dual-chamber ICD recipients would be suitable for a subcutaneous lead ICD (S-ICD)?

P
Population
1,345 patients who received a single- or dual-chamber ICD without a pre-existent indication for cardiac pacing, followed for a median of 3.4 years.
E
Exposure
Subcutaneous lead ICD (S-ICD) suitability assessment
O
Outcome
Suitability for an S-ICD defined as not reaching one of the following endpoints during follow-up: (1) an atrial and/or right ventricular pacing indication, (2) successful antitachycardia pacing without a subsequent shock or (3) an upgrade to a CRT-D device.composite

Approximately 55% of patients receiving a single- or dual-chamber ICD would be suitable for a subcutaneous ICD after 5 years of follow-up.

Cite This Study

Bie et al. (2013) conducted a cohort in ICD recipients (n=1,345). Single- or dual-chamber ICD was evaluated on Suitability for an S-ICD (not reaching pacing indication, successful ATP without shock, or CRT-D upgrade) (95% CI 52.0-59.0). Among single- or dual-chamber ICD recipients, the cumulative incidence of suitability for an initial subcutaneous ICD implantation was 55.5% (95% CI 52.0-59.0%) after 5 years.

synapsesocial.com/papers/6a93205fc2b35ebf92c13f2fhttps://doi.org/10.1136/heartjnl-2012-303349
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Quality of Life in the Antiarrhythmics Versus Implantable Defibrillators Trial2002 · 627 citations
  2. 2Meta-analysis of the implantable cardioverter defibrillator secondary prevention trials2000 · 1,129 citations
  3. 3Amiodarone or an Implantable Cardioverter–Defibrillator for Congestive Heart Failure2005 · 6,584 citations
  4. 42010 Focused Update of ESC Guidelines on device therapy in heart failure2010 · 594 citations
  5. 5ACC/AHA/HRS 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities2008 · 1,775 citations