Sudden death in cardiology

Authors: L. Křivan
Published in: Kardiol Rev Int Med 2012, 14(3): 176-181


Despite of improvement in diagnostics and treatment of cardiac di­seases sudden cardiac death still remains a substantial problem. Implantable cardioverter-defibrillators (ICD) have been used in sudden death prevention for three decades. A significant turn-over appeared in last 10 years. The number of secondary prevention ICD implantations remains nearly stable whereas number of ICD recipients from primary preventive reasons still increases. With enlarging patient’s popu­lation indicated for implantation the efficacy of ICD declines and the costs rise drama­tically. An objective of this paper is to summarize ICD indication criteria in context with the multicentric studies results. An article tends to define a profile of the patients who have no profit from ICD implantation although fulfilling primary prevention criteria.

implantable cardioverter-defibrillator – sudden cardiac death – congestive heart failure – primary preventive ICD implantation


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