NDLI: Outcome of implantable cardioverter defibrillator therapy for congenital heart disease.

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Outcome of implantable cardioverter defibrillator therapy for congenital heart disease.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Uyeda, Tomomi Inoue, Kanki Sato, Junichiro Mizukami, Ayumi Yoshikawa, Tadahiro Wada, Naoki Ando, Makoto Takahashi, Yukihiro Umemura, Jun Park, In-Sam
Description	Country affiliation: Japan Author Affiliation: Uyeda T ( Department of Pediatric Cardiology, Sakakibara Heart Institute, Tokyo, Japan. tomchin2@r15.7-dj.com)
Abstract	BACKGROUND: The use of implantable cardioverter defibrillator (ICD) therapy for congenital heart disease (CHD) has been increasing, but few studies have reported on the efficacy of ICD therapy in Japanese CHD patients. METHOD: Twelve CHD patients (median age, 35 years) with first ICD implantation were examined. Median follow-up duration was 2.9 years. Demographic information, implant electrical parameters, appropriate and inappropriate discharge data and complications were recorded for all implants from 2003 to 2010. RESULTS: Implant indication was primary prevention in two patients and secondary prevention in 10. Overall four patients received one or more discharges; three patients (25%) with secondary prevention received nine appropriate discharges. Inappropriate discharge attributed to sinus tachycardia occurred in two patients (16.7%). Only one patient experienced the late complication of skin erosion at the generator implantation site. CONCLUSIONS: Patients with CHD experienced significant rates of appropriate discharges and lower complications. But given that the indications of ICD implantation were mostly for secondary prevention, the ratio of appropriate shocks might be lower than in previous studies. In the primary prevention patients, the benefit of ICD was not clear because no appropriate discharges were seen during follow up. Although ICD implantation for CHD is beneficial for preventing sudden cardiac death, careful decision making and a large, long-term prospective study is required for the determination of the efficacy of ICD therapy in Japanese patients with CHD.
File Format	HTM / HTML
ISSN	13288067
Issue Number	3
Volume Number	54
e-ISSN	1442200X
Journal	Pediatrics International
Language	English
Publisher	Wiley
Publisher Date	2012-06-01
Publisher Place	Australia
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Pediatrics Defibrillators, Implantable Heart Diseases Congenital Therapy Adolescent Adult Aged Child Female Humans Male Middle Aged Retrospective Studies Treatment Outcome Young Adult Journal Article
Content Type	Text
Resource Type	Article
Subject	Pediatrics, Perinatology and Child Health

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