A Patient Presents with Longstanding, Severe LV Dysfunction. Is There a Role for Additional Risk Stratification Before ICD?

Larisa G. Tereshchenko, Ronald D. Berger

    Research output: Contribution to journalReview article

    2 Scopus citations

    Abstract

    Increased longevity of patients with systolic heart failure caused by the use of implantable cardioverter-defibrillators (ICDs) is one of the most successful achievements in contemporary medicine. During the last 2 decades, the scientific community has striven to increase the benefits of ICD usage by specifying indications for primary prevention ICD implantation. Left ventricular ejection fraction is neither highly specific nor is it a highly sensitive risk marker of sudden cardiac death. The authors discuss risk-stratification approaches in different patient populations with structural heart disease and systolic heart failure.

    Original languageEnglish (US)
    Pages (from-to)151-160
    Number of pages10
    JournalCardiac Electrophysiology Clinics
    Volume4
    Issue number2
    DOIs
    StatePublished - Jun 1 2012

    Keywords

    • Implantable cardioverter-defibrillator
    • Left ventricular systolic dysfunction
    • Primary prevention
    • Risk stratification
    • Sudden cardiac arrest

    ASJC Scopus subject areas

    • Cardiology and Cardiovascular Medicine
    • Physiology (medical)

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