Appropriate evaluation and treatment of heart failure patients after implantable cardioverter-defibrillator discharge: time to go beyond the initial shock

Journal of the American College of Cardiology
Joseph D MishkinJuan M Aranda

Abstract

Multiple clinical trials support the use of implantable cardioverter-defibrillators (ICDs) for prevention of sudden cardiac death in patients with heart failure (HF). Unfortunately, several complicating issues have arisen from the universal use of ICDs in HF patients. An estimated 20% to 35% of HF patients who receive an ICD for primary prevention will experience an appropriate shock within 1 to 3 years of implant, and one-third of patients will experience an inappropriate shock. An ICD shock is associated with a 2- to 5-fold increase in mortality, with the most common cause being progressive HF. The median time from initial ICD shock to death ranges from 168 to 294 days depending on HF etiology and the appropriateness of the ICD therapy. Despite this prognosis, current guidelines do not provide a clear stepwise approach to managing these high-risk patients. An ICD shock increases HF event risk and should trigger a thorough evaluation to determine the etiology of the shock and guide subsequent therapeutic interventions. Several combinations of pharmacologic and device-based interventions such as adding amiodarone to baseline beta-blocker therapy, adjusting ICD sensitivity, and employing antitachycardia pacing may reduce future ...Continue Reading

References

Aug 29, 1996·The American Journal of Cardiology·H L Greene
Dec 31, 1997·The New England Journal of Medicine·UNKNOWN Antiarrhythmics versus Implantable Defibrillators (AVID) Investigators
Aug 10, 1999·Journal of the American College of Cardiology·T M HurstB Waldecker
Jun 2, 2001·The New England Journal of Medicine·M PackerUNKNOWN Carvedilol Prospective Randomized Cumulative Survival Study Group
Mar 22, 2002·The New England Journal of Medicine·Arthur J MossUNKNOWN Multicenter Automatic Defibrillator Implantation Trial II Investigators
Sep 3, 2003·Journal of Cardiovascular Electrophysiology·Richard C KleinUNKNOWN AVID Investigators
May 21, 2004·The New England Journal of Medicine·Alan KadishUNKNOWN Defibrillators in Non-Ischemic Cardiomyopathy Treatment Evaluation (DEFINITE) Investigators
Aug 3, 2004·Journal of Cardiopulmonary Rehabilitation·Samuel F SearsEileen Handberg
Dec 8, 2004·Circulation·Arthur J MossUNKNOWN Multicenter Automatic Defibrillator Implantation Trial-II (MADIT-II) Research Group
Jan 22, 2005·The New England Journal of Medicine·Gust H BardyUNKNOWN Sudden Cardiac Death in Heart Failure Trial (SCD-HeFT) Investigators
Nov 2, 2005·American Journal of Cardiovascular Drugs : Drugs, Devices, and Other Interventions·Andreas BollmannDavid S Cannom
Nov 24, 2005·Journal of Cardiovascular Electrophysiology·Rahul N DoshiUNKNOWN PAVE Study Group
Jan 13, 2006·JAMA : the Journal of the American Medical Association·Stuart J ConnollyUNKNOWN Optimal Pharmacological Therapy in Cardioverter Defibrillator Patients (OPTIC) Investigators
Feb 8, 2006·The American Journal of Cardiology·Haitham HreybeSamir Saba
Feb 21, 2006·Journal of the American College of Cardiology·Anant K VyasUNKNOWN MADIT-II Research Group
Apr 18, 2006·The American Journal of Cardiology·Joseph J GermanoMark E Josephson
May 11, 2006·Journal of Cardiovascular Electrophysiology·F Roosevelt Gilliam
Jun 14, 2006·Circulation·Ilan GoldenbergUNKNOWN Multicenter Automatic Defibrillator Implantation Trial (MADIT) II Investigators
Sep 19, 2006·Journal of the American College of Cardiology·Jeffrey J GoldbergerUNKNOWN DEFINITE Investigators
Dec 21, 2006·JAMA : the Journal of the American Medical Association·Anil K GehiJ Anthony Gomes
Jan 18, 2007·European Heart Journal·Ignacio Ferreira-GonzálezGordon H Guyatt
Nov 1, 2007·Annals of Noninvasive Electrocardiology : the Official Journal of the International Society for Holter and Noninvasive Electrocardiology, Inc·Carsten W Israel, S Serge Barold
Dec 28, 2007·The New England Journal of Medicine·Vivek Y ReddyMark E Josephson
Feb 19, 2008·Current Opinion in Cardiology·Carsten W Israel
Apr 5, 2008·Journal of the American College of Cardiology·James P DaubertUNKNOWN MADIT II Investigators
Jun 21, 2008·The New England Journal of Medicine·Denis RoyUNKNOWN Atrial Fibrillation and Congestive Heart Failure Investigators
Sep 5, 2008·The New England Journal of Medicine·Daniel B MarkUNKNOWN Sudden Cardiac Death in Heart Failure Trial Investigators
Sep 5, 2008·The New England Journal of Medicine·Jeanne E PooleGust H Bardy

❮ Previous
Next ❯

Citations

Dec 1, 2010·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Jin LiRuediger Becker
Nov 8, 2012·Medical & Biological Engineering & Computing·K BalasundaramK Umapathy
Aug 7, 2012·Current Heart Failure Reports·Rasmus Havmöller, Sumeet S Chugh
Oct 5, 2013·Current Heart Failure Reports·Daniel E FormanJerome L Fleg
Nov 26, 2010·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Irma BattipagliaFilippo Crea
Jun 15, 2011·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Angelo AuricchioLaurence Sterns
Sep 17, 2011·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Johannes B van ReesMartin J Schalij
Oct 5, 2011·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·M GuentherC Wunderlich
Jun 26, 2013·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Alessandro ProclemerUNKNOWN Scientific Initiative Committee, European Heart Rhythm Association
Aug 10, 2012·Cardiology in Review·John Arthur McClung
Mar 7, 2012·Circulation·Larry A AllenUNKNOWN Council on Cardiovascular Surgery and Anesthesia
Dec 7, 2011·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·R E KnopsA A M Wilde
Mar 23, 2011·Heart Failure Reviews·Michael A Samara, W H Wilson Tang
Sep 4, 2015·Journal of Arrhythmia·Akihiko ShimizuUNKNOWN Committee for Implantable Devices Enrollment and Assessment in the Japanese Heart Rhythm Society
Feb 24, 2015·Frontiers in Psychology·Gian Mauro ManzoniRiccardo Proietti
Jul 19, 2013·International Journal of Cardiology·Fei LüDavid G Benditt
Nov 7, 2016·Australasian Physical & Engineering Sciences in Medicine·Nong Weixin
May 31, 2012·Clinical Nursing Research·Joanne L Thanavaro
Apr 21, 2011·Circulation. Arrhythmia and Electrophysiology·Samuel F SearsJamie B Conti
Jun 7, 2013·Circulation·UNKNOWN WRITING COMMITTEE MEMBERSUNKNOWN American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines
Sep 11, 2010·Expert Review of Cardiovascular Therapy·Roger BeadleHoong Sern Lim
Dec 17, 2010·The Open Cardiovascular Medicine Journal·Ahmad S Hersi
Mar 1, 2012·Journal of Cardiovascular Medicine·Giuseppe StabileFrancesco Solimene
Feb 9, 2012·The American Journal of Surgical Pathology·Brandon T LarsenHenry D Tazelaar
Sep 29, 2017·Korean Circulation Journal·Min-Seok KimDong-Ju Choi
Jul 30, 2014·Journal of Cardiovascular Electrophysiology·Gianluigi BencardinoFilippo Crea
Dec 2, 2015·The Journal of Physiology·Riccardo ProiettiVidal Essebag
Nov 5, 2010·Current Opinion in Supportive and Palliative Care

❮ Previous
Next ❯

Related Concepts

Related Feeds

Anti-Arrhythmic Drug Therapies

Anti-arrhythmic drugs are used to prevent abnormal heart rhythms. These medications are used in conditions including, ventricular tachycardia, ventricular fibrillation and atrial fibrillation. Discover the latest research on anti-arrhythmic drug therapies here.

Brain Ischemia

Brain ischemia is a condition in which there is insufficient blood flow to the brain to meet metabolic demand. Discover the latest research on brain ischemia here.

Cardiology Journals

Discover the latest cardiology research in this collection of the top cardiology journals.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Cardiomyopathy

Cardiomyopathy is a disease of the heart muscle, that can lead to muscular or electrical dysfunction of the heart. It is often an irreversible disease that is associated with a poor prognosis. There are different causes and classifications of cardiomyopathies. Here are the latest discoveries pertaining to this disease.

Antiarrhythmic Agents: Mechanisms of Action

Understanding the mechanism of action of antiarrhythmic agents is essential in developing new medications as treatment of cardiac arrhythmias is currently limited by the reduced availability of safe and effective drugs. Discover the latest research on Antiarrhythmic Agents: Mechanism of Action here.

Related Papers

Journal of Cardiac Failure
Heart Failure Society of AmericaMary Norine Walsh
Journal of the American College of Cardiology
Sarah J Goodlin
The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation
Maria Rosa CostanzoInternational Society of Heart and Lung Transplantation Guidelines
Circulation
Barbara RiegelAmerican Heart Association Interdisciplinary Council on Quality of Care and Outcomes Research
© 2022 Meta ULC. All rights reserved