PMID: 16525221Mar 10, 2006Paper

Implantable cardioverter-defibrillators for primary prevention: how do the data pertain to the aged?

The American Journal of Geriatric Cardiology
James P DaubertDavid T Huang

Abstract

The incidence of sudden cardiac death increases with age and the proportion of the US population in progressively more advanced age strata is dramatically increasing. While several randomized controlled trials support the use of implantable cardioverter-defibrillators (ICDs) to reduce sudden cardiac death, no randomized trials have been done to evaluate whether there is a mortality benefit of ICDs in an elderly population. In the current review, the authors examined six of the major primary prophylaxis ICD trials for evidence pertaining to the elderly. A majority of these trials suggest a mortality benefit in the elderly patients who have met the stringent inclusion and exclusion criteria to be eligible for enrollment. Subset analysis seems to support ICD implantation in a highly select elderly subgroup, but a prospective randomized trial may be warranted.

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Citations

Mar 17, 2010·Pacing and Clinical Electrophysiology : PACE·Drew ErtelRod Passman
Aug 15, 2013·Current Heart Failure Reports·Abhinav Sharma, Justin A Ezekowitz
Nov 15, 2015·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·Víctor ExpósitoFelipe Rodriguez-Entem
Sep 24, 2020·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Elif KayaReza Wakili

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