Defibrillator implantation in the elderly: Patients are older, but are physicians wiser?

Journal of Cardiovascular Electrophysiology

Volumn 21, Issue 3, 2010, Pages 242-244

  Markowitz, Steven M ^a  

^a WEILL CORNELL MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; DEFIBRILLATION; DEFIBRILLATOR; GERIATRIC CARE; HEART ARRHYTHMIA; HEART DEATH; HEART FAILURE; HEART LEFT VENTRICLE EJECTION FRACTION; HUMAN; NOTE; PRIORITY JOURNAL; SUDDEN DEATH; TREATMENT INDICATION; BRADYCARDIA; BUNDLE-BRANCH BLOCK; DEATH, SUDDEN, CARDIAC; ELECTROCARDIOGRAPHY; FEMALE; IMPLANTABLE CARDIOVERTER DEFIBRILLATOR; MALE; MORTALITY; RISK ASSESSMENT; RISK FACTOR; STATISTICS AND NUMERICAL DATA; SURVIVAL; SURVIVAL RATE; UNITED STATES; VERY ELDERLY;

AGED; AGED, 80 AND OVER; BRADYCARDIA; BUNDLE-BRANCH BLOCK; DEATH, SUDDEN, CARDIAC; DEFIBRILLATORS, IMPLANTABLE; ELECTROCARDIOGRAPHY; FEMALE; HUMANS; MALE; RISK ASSESSMENT; RISK FACTORS; SURVIVAL ANALYSIS; SURVIVAL RATE; TEXAS;

EID: 77649086406     PISSN: 10453873     EISSN: 15408167     Source Type: Journal    
DOI: 10.1111/j.1540-8167.2009.01649.x     Document Type: Note

References (19)

1. Moss AJ, Zareba W, Hall WJ, Klein H, Wilber DJ, Cannom DS, Daubert JP, Higgins SL, Brown MW, Andrews ML : Prophylactic implantation of a defibrillator in patients with myocardial infarction and reduced ejection fraction. N Engl J Med 2002 346 : 877 883.
2. Bardy GH, Lee KL, Mark DB, Poole JE, Packer DL, Boineau R, Domanski M, Troutman C, Anderson J, Johnson G, McNulty SE, Clapp-Channing N, Davidson-Ray LD, Fraulo ES, Fishbein DP, Luceri RM, Ip JH : Amiodarone or an implantable cardioverter-defibrillator for congestive heart failure. N Engl J Med 2005 352 : 225 237.
3. Heart Rhythm 2009 Late-Breaking Clinical Trial: An eight year follow-up of the MADIT II study. http://www.heartrhythmondemand.org/heartrhythm2009/ SP117552/play/?prd=090502-SP11 - 7552&prn=SP11.7552. Accessed 9/10/09.
4. Goldenberg I, Vyas AK, Hall WJ, Moss AJ, Wang H, He H, Zareba W, McNitt S, Andrews ML : Risk stratification for primary implantation of a cardioverter-defibrillator in patients with ischemic left ventricular dysfunction. J Am Coll Cardiol 2008 51 : 288 296.
5. Levy WC, Lee KL, Hellkamp AS, Poole JE, Mozaffarian D, Linker DT, Maggioni AP, Anand I, Poole-Wilson PA, Fishbein DP, Johnson G, Anderson J, Mark DB, Bardy GH : Maximizing survival benefit with primary prevention implantable cardioverter-defibrillator therapy in a heart failure population. Circulation 2009 120 : 835 842.
6. Federal Interagency Forum on Aging-Related Statistics. http://www.agingstats.gov/agingstatsdotnet/Main-Site/Default.aspx. Acces-sed 9/10/09.
7. Epstein AE, Kay GN, Plumb VJ, McElderry HT, Doppalapudi H, Yamada T, Shafiroff J, Syed ZA, Shkurovich S : Implantable cardioverter-defibrillator prescription in the elderly. Heart Rhythm 2009 6 : 1136 1143.
8. Huang DT, Sesselberg HW, McNitt S, Noyes K, Andrews ML, Hall WJ, Dick A, Daubert JP, Zareba W, Moss AJ : Improved survival associated with prophylactic implantable defibrillators in elderly patients with prior myocardial infarction and depressed ventricular function: A MADIT-II substudy. J Cardiovasc Electrophysiol 2007 18 : 833 838.
9. Koplan BA, Epstein LM, Albert CM, Stevenson WG : Survival in octogenarians receiving implantable defibrillators. Am Heart J 2006 152 : 714 719.
10. Lee DS, Tu JV, Austin PC, Dorian P, Yee R, Chong A, Alter DA, Laupacis A : Effect of cardiac and noncardiac conditions on survival after defibrillator implantation. J Am Coll Cardiol 2007 49 : 2408 2415.
11. Grimm W, Stula A, Sharkova J, Alter P, Maisch B : Outcomes of elderly recipients of implantable cardioverter defibrillators. Pacing Clin Electrophysiol 2007 30 (Suppl 1 S134 S138.
12. Ermis C, Zhu AX, Vanheel L, Sakaguchi RN, Lurie KG, Lu F, Benditt DG : Comparison of ventricular arrhythmia burden, therapeutic interventions, and survival, in patients <75 and patients ≥75 years of age treated with implantable cardioverter defibrillators. Europace 2007 9 : 270 274.
13. Pellegrini CN, Lee K, Olgin JE, Turakhia MP, Tseng ZH, Lee R, Badhwar N, Lee B, Varosy PD : Impact of advanced age on survival in patients with implantable cardioverter defibrillators. Europace 2008 10 : 1296 1301.
14. Buxton AE : Implantable cardioverter-defibrillators should be used routinely in the elderly. Am J Geriatr Cardiol 2006 15 : 361 364.
15. Chan PS, Nallamothu BK, Spertus JA, Masoudi FA, Bartone C, Kereiakes DJ, Chow T : Impact of age and medical cormorbidity on the effectiveness of implantable cardioverter-defibrillators for primary prevention. Circ Cardiovasc Qual Outcomes 2009 2 : 16 24.
16. Healey JS, Hallstrom AP, Kuck KH, Nair G, Schron EP, Roberts RS, Morillo CA, Connolly SJ : Role of the implantable defibrillator among elderly patients with a history of life-threatening ventricular arrhythmias. Eur Heart J 2007 28 : 1746 1749.
17. A comparison of antiarrhythmic-drug therapy with implantable defibrillators in patients resuscitated from near-fatal ventricular arrhythmias. The Antiarrhythmics versus Implantable Defibrillators (AVID) Investigators. N Engl J Med 1997 337 : 1576 1583.
18. Sheldon R, Connolly S, Krahn A, Roberts R, Gent M, Gardner M : Identification of patients most likely to benefit from implantable cardioverter-defibrillator therapy: The Canadian Implantable Defibrillator Study. Circulation 2000 101 : 1660 1664.
19. Daniels JD, Saunders J, Parvathaneni S, Byrd A, Joglar JA, Obel O : Electrocardiographic findings, device therapies, and comorbidities in octogenarian implantable defibrillator recipients. J Cardiovasc Electrophysiol DOI