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European Heart Journal Advance Access originally published online on March 6, 2007
European Heart Journal 2007 28(14):1665-1667; doi:10.1093/eurheartj/ehl549
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© The European Society of Cardiology 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

ICDs for secondary prevention of sudden death in the older-elderly

Arshad Jahangir*, David J. Bradley and Win K. Shen

Division of Cardiovascular Diseases, Department of Internal Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA

* Corresponding author. Tel: +1 507 284 0519; fax: +1 507 266 0228. E-mail address: jahangir.arshad@mayo.edu

This editorial refers to ‘Role of the implantable defibrillator among elderly patients with a history of life-threatening ventricular arrhythmias’ by J.S. Healey et al., on page 1746

The first 10% of the full text of this article appears below.

Unexpected death from cardiovascular causes accounts for 300 000 to 350 000 deaths annually in the United States and is one of the most common modes of death in the elderly.1 Despite advances in the management of cardiovascular diseases, the overall incidence of sudden cardiac death (SCD) in the general population has decreased only marginally and is expected to increase with the aging of the population and increased prevalence of chronic heart disease.1,2 Recent randomized, prospective clinical trials comparing antiarrhythmic drug therapy to implantable cardioverter defibrillator (ICD) have demonstrated the usefulness of ICD in reducing the risk of SCD due to cardiac arrhythmias in those at risk of or resuscitated from cardiac arrest or life-threatening ventricular arrhythmias.2–4 However, none of these trials have focused specifically on the efficacy of ICD in the older-elderly. Overall, the average age of patients in the clinical trials . . . [Full Text of this Article]


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Related articles in EHJ:

Role of the implantable defibrillator among elderly patients with a history of life-threatening ventricular arrhythmias
Jeffrey S. Healey, Al P. Hallstrom, Karl-Heinz Kuck, Girish Nair, Eleanor P. Schron, Robin S. Roberts, Carlos A. Morillo, and Stuart J. Connolly
EHJ 2007 28: 1746-1749. [Abstract] [FREE Full Text]