[7 years retrospective analysis of implantation and reimplantation of cardioverter-defibrillators].

Kardiol Pol

Klinika Elektrokardiologii, Instytut Kardiologii Collegium Medicum Uniwersytetu Jagiellońskiego, Krakowski Szpital Specjalistyczny im. Jana Pawła II.

Published: September 2004

Aim: The aim of the study was to clinical analyse patients with cardioverter-defibrillator (ICD) treated in Cracow Department of Electrocardiology IK CMUJ between 1997-2004.

Methods: Data from 199 patients, aged 10 to 82, mean 56.9 year, in whom 198 implantations (31 of dual-chamber) and replacements were analyzed.

Conclusions: (1) Number of ICD implantation as primary prevention is insufficient in this Dept. (2) Simultaneous presence of pacemaker and ICD is acceptable. (3) Careful sudden cardiac death risk stratification, even in non-classic indicative diseases should be undertaken. (4) Subcutaneous ICD implantation, even in slim people can be done without danger of skin erosion and parameters deterioration. 5. Devices implanted in the past presented longevity shorter than expected. (6) Cooperation with house-officers and pathologists is insufficient.

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