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Gepubliceerd in: Netherlands Heart Journal 3/2009

01-03-2009 | review article

Primary prevention with the ICD in clinical practice: not as straightforward as the guidelines suggest?

Auteurs: F. A. L. E. Bracke, L. R. C. Dekker, P. H. van der Voort, A. Meijer

Gepubliceerd in: Netherlands Heart Journal | Uitgave 3/2009

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Abstract

At first sight, guidelines for implantation of an implantable cardioverter defibrillator (ICD) for primary prevention of sudden cardiac death in patients with left ventricular systolic dysfunction seem unambiguous. There are clear cut-off values for ejection fraction, and functional class. However, determination of the ejection fraction itself is not unambiguous, and other risk factors for sudden death that may have a profound effect on risk are not used for decision-making. Furthermore, to obtain a clinically significant impact on survival, expected longevity is important as it can greatly compromise the benefit in elderly patients but underestimate the long-term potential of ICD therapy in younger patients. (Neth Heart J 2009; 17:107–10.)

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Netherlands Heart Journal

Het Netherlands Heart Journal wordt uitgegeven in samenwerking met de Nederlandse Vereniging voor Cardiologie en de Nederlandse Hartstichting. Het tijdschrift is Engelstalig en wordt gratis beschikbaa ...

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Metagegevens
Titel
Primary prevention with the ICD in clinical practice: not as straightforward as the guidelines suggest?
Auteurs
F. A. L. E. Bracke
L. R. C. Dekker
P. H. van der Voort
A. Meijer
Publicatiedatum
01-03-2009
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Netherlands Heart Journal / Uitgave 3/2009
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI
https://doi.org/10.1007/BF03086228