Implantable cardioverter-defibrillators in sudden cardiac death prevention: guidelines and clinical practice (literature review)

Implantable cardioverter-defibrillators (ICDs) are considered to be the most beneficial in preventing sudden cardiac death (SCD), especially in patients with reduced left ventricular ejection fraction (LVEF). However, major large-scale randomized clinical trials on ICD effectiveness were conducted 2...

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Main Authors: I. V. Talibullin, N. B. Lebedeva
Format: Article
Language:English
Published: Siberian State Medical University (Tomsk) 2022-04-01
Series:Бюллетень сибирской медицины
Subjects:
Online Access:https://bulletin.ssmu.ru/jour/article/view/4714
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author I. V. Talibullin
N. B. Lebedeva
author_facet I. V. Talibullin
N. B. Lebedeva
author_sort I. V. Talibullin
collection DOAJ
description Implantable cardioverter-defibrillators (ICDs) are considered to be the most beneficial in preventing sudden cardiac death (SCD), especially in patients with reduced left ventricular ejection fraction (LVEF). However, major large-scale randomized clinical trials on ICD effectiveness were conducted 20 years ago and do not reflect current realities. Modern ICDs and methods for treating heart failure have drastically improved. New clinical reality requires reconsideration of approaches to determining the risk of SCD and indications for ICD, personalization of device selection and programming, and identification of barriers that prevent ubiquitous use of the method in real clinical practice.The article reviews the available evidence base on the use of ICDs, current clinical guidelines, complications following the device implantation, and any difficulties associated with ICD application in routine clinical practice.
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series Бюллетень сибирской медицины
spelling doaj-art-94fb852fe8ea48b2824c7bbdb13a29502025-08-20T04:00:10ZengSiberian State Medical University (Tomsk)Бюллетень сибирской медицины1682-03631819-36842022-04-0121118319610.20538/1682-0363-2022-1-183-1962881Implantable cardioverter-defibrillators in sudden cardiac death prevention: guidelines and clinical practice (literature review)I. V. Talibullin0N. B. Lebedeva1Research Institute for Complex Issues of Cardiovascular DiseasesResearch Institute for Complex Issues of Cardiovascular DiseasesImplantable cardioverter-defibrillators (ICDs) are considered to be the most beneficial in preventing sudden cardiac death (SCD), especially in patients with reduced left ventricular ejection fraction (LVEF). However, major large-scale randomized clinical trials on ICD effectiveness were conducted 20 years ago and do not reflect current realities. Modern ICDs and methods for treating heart failure have drastically improved. New clinical reality requires reconsideration of approaches to determining the risk of SCD and indications for ICD, personalization of device selection and programming, and identification of barriers that prevent ubiquitous use of the method in real clinical practice.The article reviews the available evidence base on the use of ICDs, current clinical guidelines, complications following the device implantation, and any difficulties associated with ICD application in routine clinical practice.https://bulletin.ssmu.ru/jour/article/view/4714implantable cardioverter-defibrillatorssudden cardiac deathpreventionclinical practice
spellingShingle I. V. Talibullin
N. B. Lebedeva
Implantable cardioverter-defibrillators in sudden cardiac death prevention: guidelines and clinical practice (literature review)
Бюллетень сибирской медицины
implantable cardioverter-defibrillators
sudden cardiac death
prevention
clinical practice
title Implantable cardioverter-defibrillators in sudden cardiac death prevention: guidelines and clinical practice (literature review)
title_full Implantable cardioverter-defibrillators in sudden cardiac death prevention: guidelines and clinical practice (literature review)
title_fullStr Implantable cardioverter-defibrillators in sudden cardiac death prevention: guidelines and clinical practice (literature review)
title_full_unstemmed Implantable cardioverter-defibrillators in sudden cardiac death prevention: guidelines and clinical practice (literature review)
title_short Implantable cardioverter-defibrillators in sudden cardiac death prevention: guidelines and clinical practice (literature review)
title_sort implantable cardioverter defibrillators in sudden cardiac death prevention guidelines and clinical practice literature review
topic implantable cardioverter-defibrillators
sudden cardiac death
prevention
clinical practice
url https://bulletin.ssmu.ru/jour/article/view/4714
work_keys_str_mv AT ivtalibullin implantablecardioverterdefibrillatorsinsuddencardiacdeathpreventionguidelinesandclinicalpracticeliteraturereview
AT nblebedeva implantablecardioverterdefibrillatorsinsuddencardiacdeathpreventionguidelinesandclinicalpracticeliteraturereview