Improving the utilization of implantable cardioverter defibrillators for sudden cardiac arrest prevention (Improve SCA) in developing countries: Clinical characteristics and reasons for implantation refusal
Journal
PACE - Pacing and Clinical Electrophysiology
Journal Volume
41
Journal Issue
12
Pages
1619-1626
Date Issued
2018
Author(s)
Singh B.
Zhang S.
Ching C.-K.
Huang D.
Rodriguez D.A.
Hussin A.
Kim Y.-H.
Chasnoits A.R.
Cerkvenik J.
Muckala K.A.
Cheng A.
Abstract
Background: Despite available evidence that implantable cardioverter defibrillators (ICDs) reduce all-cause mortality among patients at risk for sudden cardiac death, utilization of ICDs is low especially in developing countries. Objective: To summarize reasons for ICD or cardiac resynchronization therapy defibrillator implant refusal by patients at risk for sudden cardiac arrest (Improve SCA) in developing countries. Methods: Primary prevention (PP) and secondary prevention (SP) patients from countries where ICD use is low were enrolled. PP patients with additional risk factors (syncope, ejection fraction?
Subjects
implantable cardioverter defibrillator; primary prevention; secondary prevention; sudden cardiac arrest; underutilization
Other Subjects
adult; aged; Article; cardiac resynchronization therapy; cardiovascular risk; cardiovascular surgery; clinical feature; controlled study; developing country; faintness; female; health care utilization; heart atrium arrhythmia; heart ejection fraction; heart left bundle branch block; heart ventricle extrasystole; heart ventricle tachycardia; high risk patient; human; logistic regression analysis; major clinical study; male; medical history; multicenter study; nonsustained ventricular tachycardia; primary prevention; prospective study; QRS interval; secondary prevention; sinus node disease; sudden cardiac death; treatment refusal; very elderly
Publisher
Blackwell Publishing Inc.
Type
journal article