Key result
A survey of European electrophysiology centres demonstrated reasonably high adherence to the 2015 ESC guidelines for sudden cardiac death prevention, though primary prevention ICD indications remain challenging.
Cross-Sectional
Yes
European electrophysiology centres show reasonably high adherence to the 2015 ESC guidelines for ventricular arrhythmias and SCD prevention, though challenges remain in primary prevention for non-ischaemic cardiomyopathy and genetic testing.
Adherence to 2015 ESC SCD guidelines appears reasonably high in EP centres; leaves open optimal primary-prevention ICD decisions in non-ischaemic DCM and equitable genetic testing access.
Prevention of sudden cardiac death (SCD) remains a partly unsolved task in cardiology. The European Society of Cardiology (ESC) guidelines on management of patients with ventricular arrhythmias and prevention of SCD published in 2015 considered the new insights of the natural history of diseases predisposing to SCD. The guidelines improved strategies for management of patients at risk of SCD and included both drug and device therapies. The intention of this survey was to evaluate the extent of the disparities between daily clinical practice and the 2015 SCD ESC guidelines among electrophysiology centres in Europe. The results suggest that the adherence to guidelines is reasonably high and strategies for the management of ischaemic disease are well-established. Implantable cardioverter-defibrillator indications for primary prevention are a difficult topic, particularly in non-ischaemic dilated cardiomyopathy. Disparities in the use of genetic testing are probably due to differences in local availability.
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Haugaa et al. (2018) conducted a cross-sectional in Ventricular arrhythmias and prevention of sudden cardiac death. 2015 SCD ESC guidelines was evaluated on Disparities between daily clinical practice and the 2015 SCD ESC guidelines. A survey of European electrophysiology centres demonstrated reasonably high adherence to the 2015 ESC guidelines for sudden cardiac death prevention, though primary prevention ICD indications remain challenging.
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