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Patients with mild to moderate heart failure who receive ICD shock therapy are at higher risk of future death from heart failure PDF Print E-mail
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Wednesday, 03 September 2008 23:18
While implantable heart defibrillators reduce the risk of death from sudden cardiac arrest in patients with mild to moderate heart failure, patients who receive defibrillator shocks for rhythm disturbances have a higher future risk of death, primarily from heart failure, a new study has found. The study, conducted at the University of Washington, Duke University Medical Center and the Seattle Institute for Cardiac Research, will appear in the Sept. 4 issue of the New England Journal of Medicine.

 

This new finding stems from the largest and most comprehensive study of ICD use to prevent sudden death in patients with mild to moderate heart failure --Sudden Cardiac Death in Heart Failure Trial, SCD-HeFT-- the results of which were published in the New England Journal of Medicine in 2005. Implantable heart defibrillators or implantable cardioverter-defibrillators (ICDs), as they are known, are small battery-powered generators that are implanted in patients who are at risk of sudden cardiac death due to ventricular fibrillation.

That study demonstrated a clear survival advantage for patients treated with an ICD and medications for heart failure therapy compared to patients treated only with medications for heart failure.

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