Current status of implantable defibrillator devices in patients with left ventricular dysfunction — The first report from the online registry database

Background: The current status of the efficacy of implantable cardioverter-defibrillator (ICD. and cardiac-resynchronization therapy with implantable defibrillator (CRT-D. in patients with left ventricular dysfunction needs to be clarified. Methods and Results: From the Japanese Cardiac Device Treat...

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Main Authors: Akihiko Shimizu, MD, Takashi Nitta, MD, Takashi Kurita, MD, Katsuhiko Imai, MD, Takeshi Kimura, MD, Yoshinori Kobayashi, MD, Kyoko Soejima, MD, Shinichi Niwano, MD, Shigeyuki Watanabe, MD, Haruhiko Abe, MD
Format: Article
Language:English
Published: Wiley 2008-01-01
Series:Journal of Arrhythmia
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1880427608800208
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author Akihiko Shimizu, MD
Takashi Nitta, MD
Takashi Kurita, MD
Katsuhiko Imai, MD
Takeshi Kimura, MD
Yoshinori Kobayashi, MD
Kyoko Soejima, MD
Shinichi Niwano, MD
Shigeyuki Watanabe, MD
Haruhiko Abe, MD
author_facet Akihiko Shimizu, MD
Takashi Nitta, MD
Takashi Kurita, MD
Katsuhiko Imai, MD
Takeshi Kimura, MD
Yoshinori Kobayashi, MD
Kyoko Soejima, MD
Shinichi Niwano, MD
Shigeyuki Watanabe, MD
Haruhiko Abe, MD
author_sort Akihiko Shimizu, MD
collection DOAJ
description Background: The current status of the efficacy of implantable cardioverter-defibrillator (ICD. and cardiac-resynchronization therapy with implantable defibrillator (CRT-D. in patients with left ventricular dysfunction needs to be clarified. Methods and Results: From the Japanese Cardiac Device Treatment Registry database, a total of 1,584 patients who had an LVEF ≦ 40% and had an ICD or CRT-D were selected as subjects in this study. The difference in the clinical characteristics between the primary and secondary prevention groups and the transition of the indications for device implantation over time were examined. Primary prevention gradually increased up to about 50% in all patients. The implantations of ICD/CRT-D for primary prevention in ischemic hear disease was significantly lower than that in dilated cardiomyopathy (33% vs 51%; p < 0.0001). The number of implantations for CRT-D for primary prevention increased dramatically over a one-year period. Conclusions: In Japan, the implantable defibrillator devices for primary prevention was significantly lower in ischemic heart disease compared with dilated cardiomyopathy. Further, an extension of the indications for ICD/CRT-D implantations has recently been occurring, especially with CRT-D devices for primary prevention.
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spelling doaj.art-6adc2285578348e8b888ab18b29f399b2022-12-21T23:19:11ZengWileyJournal of Arrhythmia1880-42762008-01-0124313314010.1016/S1880-4276(08)80020-8Current status of implantable defibrillator devices in patients with left ventricular dysfunction — The first report from the online registry databaseAkihiko Shimizu, MDTakashi Nitta, MDTakashi Kurita, MDKatsuhiko Imai, MDTakeshi Kimura, MDYoshinori Kobayashi, MDKyoko Soejima, MDShinichi Niwano, MDShigeyuki Watanabe, MDHaruhiko Abe, MDBackground: The current status of the efficacy of implantable cardioverter-defibrillator (ICD. and cardiac-resynchronization therapy with implantable defibrillator (CRT-D. in patients with left ventricular dysfunction needs to be clarified. Methods and Results: From the Japanese Cardiac Device Treatment Registry database, a total of 1,584 patients who had an LVEF ≦ 40% and had an ICD or CRT-D were selected as subjects in this study. The difference in the clinical characteristics between the primary and secondary prevention groups and the transition of the indications for device implantation over time were examined. Primary prevention gradually increased up to about 50% in all patients. The implantations of ICD/CRT-D for primary prevention in ischemic hear disease was significantly lower than that in dilated cardiomyopathy (33% vs 51%; p < 0.0001). The number of implantations for CRT-D for primary prevention increased dramatically over a one-year period. Conclusions: In Japan, the implantable defibrillator devices for primary prevention was significantly lower in ischemic heart disease compared with dilated cardiomyopathy. Further, an extension of the indications for ICD/CRT-D implantations has recently been occurring, especially with CRT-D devices for primary prevention.http://www.sciencedirect.com/science/article/pii/S1880427608800208heart failureimplantable cardioverter-defibrillator (ICD)cardiac resynchronization therapypreventionguidelines
spellingShingle Akihiko Shimizu, MD
Takashi Nitta, MD
Takashi Kurita, MD
Katsuhiko Imai, MD
Takeshi Kimura, MD
Yoshinori Kobayashi, MD
Kyoko Soejima, MD
Shinichi Niwano, MD
Shigeyuki Watanabe, MD
Haruhiko Abe, MD
Current status of implantable defibrillator devices in patients with left ventricular dysfunction — The first report from the online registry database
Journal of Arrhythmia
heart failure
implantable cardioverter-defibrillator (ICD)
cardiac resynchronization therapy
prevention
guidelines
title Current status of implantable defibrillator devices in patients with left ventricular dysfunction — The first report from the online registry database
title_full Current status of implantable defibrillator devices in patients with left ventricular dysfunction — The first report from the online registry database
title_fullStr Current status of implantable defibrillator devices in patients with left ventricular dysfunction — The first report from the online registry database
title_full_unstemmed Current status of implantable defibrillator devices in patients with left ventricular dysfunction — The first report from the online registry database
title_short Current status of implantable defibrillator devices in patients with left ventricular dysfunction — The first report from the online registry database
title_sort current status of implantable defibrillator devices in patients with left ventricular dysfunction the first report from the online registry database
topic heart failure
implantable cardioverter-defibrillator (ICD)
cardiac resynchronization therapy
prevention
guidelines
url http://www.sciencedirect.com/science/article/pii/S1880427608800208
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