PMID: 9436560Jan 22, 1998Paper

Favorable results of implantable cardioverter-defibrillator implantation in patients older than 70 years

The Annals of Thoracic Surgery
K J QuanA S Geha

Abstract

The clinical results of implantable cardioverter-defibrillator (ICD) implantation in the elderly have received limited documentation. As the longevity of the U.S. population has increased, so has the need for ICD implantation in the elderly. We evaluated the efficacy and outcome of ICD implantation in elderly patients (>70 years) compared with younger patients. The case records of all consecutive patients who underwent ICD implantation at our institution between 1986 and 1994 were reviewed. Of a total of 238 patients, 78 patients were 70 years of age or older and 160 patients were younger than 70 years of age. The mean age of the younger group was 58 years and that of the elderly group was 74 years. There were no statistical differences in the presence of coronary artery disease, left ventricular systolic function, the inducibility of arrhythmias, or the history of sudden cardiac death. The hospital morbidity rate was similar in both groups (6.9% in the younger group and 7.7% in the elderly group; p = not significant). The operative mortality rate was 1.9% for the younger group and 1.3% for the elderly group (p = not significant). At a mean follow-up of 33 +/- 26 months, Kaplan-Meier survival curves demonstrated similar surviva...Continue Reading

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Citations

Jan 20, 2006·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Gabor DurayStefan H Hohnloser
Jan 30, 2013·Nature Reviews. Cardiology·Patricia Tung, Christine M Albert
Jul 27, 2001·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·R N HauerUNKNOWN Study Group on Guidelines on ICD of the Working Group on Arrythmias and the Working Group on Cardiac Pacing of the European
Sep 27, 2008·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·Cara N PellegriniPaul D Varosy
Mar 11, 2004·Pacing and Clinical Electrophysiology : PACE·Peter A NoseworthyDavid Newman
Oct 7, 2009·Journal of Cardiovascular Electrophysiology·James D DanielsOwen Obel
Aug 18, 2004·Journal of the American College of Cardiology·Andrew VoigtSamir Saba
Feb 17, 2007·Pacing and Clinical Electrophysiology : PACE·Wolfram GrimmBernhard Maisch

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