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Title of Journal: Pediatr Cardiol

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Abbravation: Pediatric Cardiology

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Springer-Verlag

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DOI

10.1007/bf00001166

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ISSN

1432-1971

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Multicenter Study of the Effectiveness of Implanta

Authors: Nicholas H Von Bergen Dianne L Atkins Macdonald Dick David J Bradley Susan P Etheridge Elizabeth V Saarel Peter S Fischbach Seshadri Balaji Narayanswami Sreeram William N Evans Ian H Law
Publish Date: 2011/01/06
Volume: 32, Issue: 4, Pages: 399-405
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Abstract

Implantable cardioverter defibrillators ICDs are being used with increasing frequency in children and young adults Our aim was to examine the appropriateness and frequency of ICD discharges in children and young adults to compare the effectiveness of ICDs when placed for primary or secondary prevention and to provide timedependent analysis of ICD discharges Data were collected from seven institutions on 210 patients 30 years of age who underwent ICD implantation from October 1992 to January 2007 Median age at implant was 154 years with a followup average of 33 years Heart disease was categorized as electrical n = 90 42 cardiomyopathic n = 62 30 or congenital heart disease n = 58 28 ICDs are increasingly placed for primary prevention There are increased appropriate ICD discharges for ICDs placed for secondary prevention 52 versus primary prevention 14 at 5 years There is no difference in the risk of inappropriate discharges between primary and secondary prevention indications There is an increased risk for inappropriate therapy in the congenital heart disease population An increasing number of ICDs are being placed for primary prevention in young patients a marked shift in practice during the last two decades The benefits of ICDs remain greater in secondary than in primaryprevention patients In both groups approximately 25 of patients received inappropriate discharges within 5 years of implant Patients with congenital heart disease are the most affected by inappropriate discharges

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  2. Transcatheter Amplatzer Occlusion and Surgical Closure of Patent Ductus Arteriosus: Comparison of Effectiveness and Costs in a Low-Income Country
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  7. Comparison of Immune Profiles in Fetal Hearts with Idiopathic Dilated Cardiomyopathy, Maternal Autoimmune-Associated Dilated Cardiomyopathy and the Normal Fetus
  8. Medication Dosing and Renal Insufficiency in a Pediatric Cardiac Intensive Care Unit: Impact of Pharmacist Consultation
  9. Time Course of Myocardial Amiodarone Uptake in the Piglet Heart Using a Chronic Animal Model
  10. Time Course of Myocardial Amiodarone Uptake in the Piglet Heart Using a Chronic Animal Model
  11. Balloon Valvuloplasty for Critical Pulmonary Valve Stenosis in a Premature Infant
  12. “Baby Heart Project”: The Italian Project for Accreditation and Quality Management in Pediatric Cardiology and Cardiac Surgery
  13. Characteristics of Hospitalizations for the Glenn Procedure in Those With Isomerism Compared to Those Without
  14. Does the Stage 16 Embryo in Hamburger–Hamilton’s “Series of Normal Stages in the Development of the Chick Embryo” Have a Potential “Conotruncal” Heart Defect?
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