Younger patients experiencing more complications with cardioverter defibrillators
30 June 2022
|Younger patients who receive an implantable defibrillator are significantly less likely than older defibrillator patients to suffer from CHD and extracardiac
comorbidities. They also have a better ejection fraction, 42% versus 32%. However, they are twice as likely (16.4% versus 8.2%) to come in for revision because of device-associated complications than older patients S Hakmi, D-U Chun, Hamburg, Germany, DGK Annual Congress 2022, DEVICE Registry). The registry prospectively enrolled a total of 4181 patients from 50 centers in Germany between 2007 and 2011 who had received implantable cardioverter defibrillator (ICD) or cardiac resynchronization therapy with defibrillator (CRT-D).
|While heart failure was the most common reason for presentation in older patients, survived cardiac death, hypertrophic cardiomyopathies, and primary electrical heart disease dominated in younger patients. The 1-year mortality was lower in the young patients than in older patients, 3.1 versus 7.3%, respectively. Cardiologists attributed the higher complication rate to the greater activity of younger patients.|
|SuK Deutsches Ärzteblatt||Dtsch Ärztebl 2022; 119(24): 4 (german)|
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