Improving the utilization of implantable cardioverter defibrillators for sudden cardiac arrest prevention (Improve SCA) in developing countries: Clinical characteristics and reasons for implantation refusal

Singh B; Zhang S; Ching CK; Huang D; Liu YB; Rodriguez DA; Hussin A; Kim YH; Chasnoits AR; Cerkvenik J; Muckala KA; Cheng A

doi:10.1111/pace.13526

Improving the utilization of implantable cardioverter defibrillators for sudden cardiac arrest prevention (Improve SCA) in developing countries: Clinical characteristics and reasons for implantation refusal

Singh B ¹ , Zhang S ² , Ching CK ³ , Huang D ⁴ , Liu YB ⁵ , Rodriguez DA ⁶ Show all authors , Hussin A ⁷ , Kim YH ⁸ , Chasnoits AR ⁹ , Cerkvenik J ¹⁰ , Muckala KA ¹⁰ , Cheng A ¹⁰

Affiliations

¹ Department of Cardiology, Medanta, The Medicity Hospital, Gurgaon, Haryana, India
² The Cardiac Arrhythmia Center, Fuwai Cardiovascular Hospital, Beijing, China
³ Department of Cardiology, National Heart Centre of Singapore, Singapore
⁴ Department of Cardiology, West China Hospital, Chengdu, China
⁵ Department of Internal Medicine, National Taiwan University Hospital, Taipei City, Taiwan
⁶ Instituto de Cardiología, Fundación Cardio infantil, Centro Internacional de Arritmias, Bogota, Colombia and Universidad de la Sabana, Chía, Colombia
⁷ Department of Cardiology, Institut Jantung Negara, Kuala Lumpur, Malaysia
⁸ Cardiology Division, Korea University Medical Center, Seoul, South Korea
⁹ Department of Roentgen-Endovascular Surgery, Republican Scientific Practical Centre Cardiology, Minsk, Belarus
¹⁰ Department of Cardiac Rhythm Management, Medtronic, Mounds View, Minnesota

Pacing Clin Electrophysiol, 2018 12;41(12):1619-1626.

PMID: 30320410 DOI: 10.1111/pace.13526

Abstract

BACKGROUND: Despite available evidence that implantable cardioverter defibrillators (ICDs) reduce all-cause mortality among patients at risk for sudden cardiac death, utilization of ICDs is low especially in developing countries.

OBJECTIVE: To summarize reasons for ICD or cardiac resynchronization therapy defibrillator implant refusal by patients at risk for sudden cardiac arrest (Improve SCA) in developing countries.

METHODS: Primary prevention (PP) and secondary prevention (SP) patients from countries where ICD use is low were enrolled. PP patients with additional risk factors (syncope, ejection fraction

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.