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首页> 外文期刊>The American Journal of Cardiology >Timing of prophylactic implantable cardioverter-defibrillator implantation in patients with cardiomyopathy
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Timing of prophylactic implantable cardioverter-defibrillator implantation in patients with cardiomyopathy

机译:心肌病患者预防性植入心肺除颤器 - 除颤器的定时

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摘要

The recent study by Zecchin et al is an important contribution to the debate regarding the appropriate timing of prophylactic implantable cardioverter-defi-brillator (ICD) implantation for patients with idiopathic dilated cardiomyopathy (DC). They have shown that with optimal medical therapy, 2/3 of patients with DC and "SCD-HeFT [Sudden Cardiac Death in Heart Failure] criteria" at presentation2 did not maintain ICD indications 3 to 9 months later. We wish to extend these observations by showing that even in patients with advanced heart failure and very low left ventricular ejection fractions (LVEFs), intensive medical management without ICD implantation can be associated with an exceptionally low 1-year mortality and, in many cases, with an improvement of the LVEF to >35%.
机译:Zechin等人最近的研究是对具有特发性扩张心肌病(DC)患者的预防性植入心脏病术(ICD)植入的适当定时对辩论的重要贡献。 他们表明,随着最佳的医疗疗法,2/3的DC患者和“心力衰竭的SCD-HEFT [心力衰竭突然的心脏病患者]呈现2未在3至9个月后维持ICD适应症。 我们希望通过表明,即使在晚期心力衰竭和左心室喷射分数(LVEFS)的患者中,没有ICD植入的密集医疗管理也可能与较低的1年死亡率有关,并且在许多情况下, 改善LVEF至35%。

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