PMID- 33860805
OWN - NLM
STAT- MEDLINE
DCOM- 20211207
LR  - 20220428
IS  - 1615-6692 (Electronic)
IS  - 0340-9937 (Print)
IS  - 0340-9937 (Linking)
VI  - 46
IP  - 6
DP  - 2021 Dec
TI  - [Perioprocedural mortality after ICD implantation].
PG  - 581-588
LID - 10.1007/s00059-021-05033-2 [doi]
AB  - BACKGROUND: Implantable cardioverter defibrillators (ICD) represent an 
      established treatment in preventing sudden cardiac death in patients with 
      indications for primary or secondary prophylaxis. As for all complex surgical 
      procedures there remains a risk for the occurrence of complications including 
      death also for ICD implantation. The aim of the present study was to analyze the 
      procedure-related mortality in patients after ICD implantation using the data 
      from the obligatory quality assurance program in North-Rhine/Westphalia. METHODS: 
      Data of all 18,625 patients from the quality assurance datasets who underwent ICD 
      implantation in the years 2010-2012 were analyzed. RESULTS: During the 
      in-hospital stay 118 patients (0.6%) died after ICD implantation. Patients 
      > 80 years old had a higher mortality (1.9% vs. 0.5% in patients < 80 years old, 
      p < 0.001) as well as women (0.95% vs. 0.54% in men, p = 0.004) and patients with 
      higher New York Heart Association (NYHA) class (0.3% for NYHA II, 0.7% for 
      NYHA III, 3.4% for NYHA IV, p < 0.001 for all comparisons). The presence of 
      diabetes mellitus (23% of the collective) did not influence the perioperative 
      mortality, whereas renal failure requiring dialysis showed a significantly 
      increased mortality (p < 0.001 compared to patients with creatinine </= 1.5 mg/dl 
      and p = 0.002 for patients with creatinine > 1.5 mg/dl not requiring dialysis). 
      Patients with indications for ICD secondary prophylaxis had a significantly 
      higher mortality (1.2% vs. 0.4%, p < 0.001), which increased from 0.6% to 3.7% 
      (p < 0.001) with the occurrence of complications. CONCLUSION: The 
      procedure-related mortality after ICD implantation is increased in patients over 
      80 years of age, higher NYHA class, patients requiring dialysis, in secondary 
      prevention indications and after the occurrence of perioperative complications.
CI  - (c) 2021. The Author(s).
FAU - Bogossian, Harilaos
AU  - Bogossian H
AUID- ORCID: 0000-0003-4206-630X
AD  - Klinik fur Kardiologie und Rhythmologie, Ev. Krankenhaus Hagen, 
      Brusebrinkstr. 20, 58135, Hagen, Deutschland. bogossianh@esv.de.
AD  - Universitat Witten/Herdecke, Witten, Deutschland. bogossianh@esv.de.
FAU - Panteloglou, Dimitrios
AU  - Panteloglou D
AD  - Klinik fur Kardiologie, Elektrophysiologie und Angiologie, Klinikum Ludenscheid, 
      Ludenscheid, Deutschland.
FAU - Karosiene, Zana
AU  - Karosiene Z
AD  - Klinik fur Kardiologie, Elektrophysiologie und Angiologie, Klinikum Ludenscheid, 
      Ludenscheid, Deutschland.
FAU - Macher-Heidrich, Susanne
AU  - Macher-Heidrich S
AD  - Arztekammer Nordrhein, Dusseldorf, Deutschland.
FAU - Adomeit, Heinz Jurgen
AU  - Adomeit HJ
AD  - Arztekammer Westfalen-Lippe, Munster, Deutschland.
FAU - Lemke, Bernd
AU  - Lemke B
AD  - Klinik fur Kardiologie, Elektrophysiologie und Angiologie, Klinikum Ludenscheid, 
      Ludenscheid, Deutschland.
FAU - Israel, Carsten W
AU  - Israel CW
AD  - Klinik fur Kardiologie, Evangelisches Klinikum Bethel, Bielefeld, Deutschland.
LA  - ger
PT  - Journal Article
TT  - Peripoperative Mortalitat nach ICD-Implantation.
DEP - 20210416
PL  - Germany
TA  - Herz
JT  - Herz
JID - 7801231
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Death, Sudden, Cardiac/epidemiology/prevention & control
MH  - *Defibrillators, Implantable
MH  - Female
MH  - *Heart Failure
MH  - Humans
MH  - Male
MH  - Primary Prevention
MH  - Risk Factors
PMC - PMC8642318
OTO - NOTNLM
OT  - Complications
OT  - Defibrillators
OT  - Quality assurance
OT  - Risk factors
OT  - Surgery
EDAT- 2021/04/17 06:00
MHDA- 2021/12/15 06:00
PMCR- 2021/04/16
CRDT- 2021/04/16 08:43
PHST- 2020/12/19 00:00 [received]
PHST- 2021/03/16 00:00 [accepted]
PHST- 2021/03/02 00:00 [revised]
PHST- 2021/04/17 06:00 [pubmed]
PHST- 2021/12/15 06:00 [medline]
PHST- 2021/04/16 08:43 [entrez]
PHST- 2021/04/16 00:00 [pmc-release]
AID - 10.1007/s00059-021-05033-2 [pii]
AID - 5033 [pii]
AID - 10.1007/s00059-021-05033-2 [doi]
PST - ppublish
SO  - Herz. 2021 Dec;46(6):581-588. doi: 10.1007/s00059-021-05033-2. Epub 2021 Apr 16.