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Analyses of inappropriate shocks in a Spanish ICD primary prevention population: Predictors and prognoses

Authors :
Moisés Rodríguez-Mañero
Alonso Pedrote
José Moreno-Arribas
Álvaro Arce-León
Miguel A. Arias
Larraitz Gaztañaga
Ana Andrés La Huerta
Pilar Cabanas-Grandío
Agustín Fernández-Cisnal
Cristina González-Cambeiro
Juan Gómez
Rocío Castillo Poyo
Luis Martínez-Sande
Eduardo Arana-Rueda
Source :
INTERNATIONAL JOURNAL OF CARDIOLOGY, r-IIS La Fe. Repositorio Institucional de Producción Científica del Instituto de Investigación Sanitaria La Fe, instname
Publication Year :
2015
Publisher :
Elsevier BV, 2015.

Abstract

Background: ICDs have been demonstrated to be highly effective in the primary prevention of sudden death, but inappropriate shocks (IS) occur frequently and represent one of the most important adverse effects of ICDs. The aim of this study was to analyze IS and identify the clinical predictors and prognostic implications of ISs in a real-world primary prevention ICD population. Methods: This multicenter retrospective study was performed in 13 centers with experience in the field of ICD implantation (at least 30 per year) and ICD follow-up in Spain. All consecutive patients who underwent ICD implantation for primary prevention between January 2008 and May 2014 were included. Results: One-thousand-sixteen patients were included, and 4 (0.39%) were lost to follow-up. Two-hundred-seventeen (21.4%) patients suffered from shock; 69 (6.8%) of these patients experienced IS, and 154 (15.4%) experienced appropriate shocks (AS). Age (

Details

ISSN :
01675273
Volume :
195
Database :
OpenAIRE
Journal :
International Journal of Cardiology
Accession number :
edsair.doi.dedup.....dea95c4ef0fa9969ceefd66de81ab3f0
Full Text :
https://doi.org/10.1016/j.ijcard.2015.05.146