Evidence rather than costs must guide use of the implantable cardioverter defibrillator.
Am J Cardiol
; 86(9A): 52K-57K, 2000 Nov 02.
Article
em En
| MEDLINE
| ID: mdl-11084101
ABSTRACT
Randomized controlled trials have shown superior survival rates with implantable cardioverter defibrillators (ICDs) compared with antiarrhythmic drugs in survivors of cardiac arrest and life-threatening ventricular tachyarrhythmias, as well as in high-risk patients with ischemic heart disease and inducible ventricular tachycardia (VT). Current defibrillators are small and implanted with techniques similar to standard pacemakers. They provide high-energy shocks for ventricular fibrillation (VF) and rapid VT, antitachycardia pacing for monomorphic VT, and antibradycardia pacing. Limited evidence suggests that ICD therapy is cost-effective when compared with other widely accepted treatments. The use of ICDs is likely to continue to expand in the future. Ongoing clinical trials will define further prophylactic indications of the ICD and clarify its cost-effectiveness ratio in different clinical settings.
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Coleções:
01-internacional
Contexto em Saúde:
1_ASSA2030
/
6_ODS3_enfermedades_notrasmisibles
Base de dados:
MEDLINE
Assunto principal:
Fibrilação Ventricular
/
Cardioversão Elétrica
/
Morte Súbita Cardíaca
/
Taquicardia Ventricular
/
Desfibriladores Implantáveis
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Health_economic_evaluation
Limite:
Humans
Idioma:
En
Revista:
Am J Cardiol
Ano de publicação:
2000
Tipo de documento:
Article