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Feasibility of Implantable Cardioverter Defibrillator Use in Elderly Patients:
Author(s) -
NOSEWORTHY PETER A.,
LASHEVSKY ILAN,
DORIAN PAUL,
GREENE MARY,
CVITKOVIC SUZAN,
NEWMAN DAVID
Publication year - 2004
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.2004.00445.x
Subject(s) - medicine , implantable cardioverter defibrillator , clinical endpoint , single center , age groups , complication , sudden cardiac death , clinical trial , surgery , demography , sociology
This article addresses the feasibility and safety of ICD therapy in patients >80 years of age. Recent trials have expanded the indication for ICD implantation to include an increasing number and variety of patients. The feasibility of ICD implantation in elderly patients has not been adequately studied. A prospectively collected single center ICD database was analyzed to assess the safety and feasibility of ICD implantation in elderly patients. Patients were divided based on age into two groups (group 1: 70–79 years of age, n = 183; group 2: ≥80 years of age, n = 29). The two groups were similar in gender distribution, NYHA class, and indication for implantation. The actuarial survival was not significantly different between groups 1 and 2 (P > 0.05; primary endpoint), with a 1‐year survival of 91% and 93% in groups 1 and 2, respectively, (P = NS). The complication rates at the time of ICD implantation were similar in groups 1 and 2 (6.6% and 13.1%, respectively, P = 0.16). Age alone may not be sufficient criteria to exclude ICD implantation. The current consensus guidelines for ICD implantation appear to be generalizable to treating octogenarians who are otherwise medically fit. (PACE 2004; 27:373–378)