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Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
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0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
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01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
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20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
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Prognostic impact of ICD shocks: difference between subcutaneous and endovascular devices
Session:
Posters 3 - Écran 8 - Arritmologia
Speaker:
Pedro Carmo
Congress:
CPC 2019
Topic:
C. Arrhythmias and Device Therapy
Theme:
09. Device Therapy
Subtheme:
09.2 Implantable Cardioverter / Defibrillator
Session Type:
Posters
FP Number:
---
Authors:
Pedro Lopes Do Carmo; Diogo Cavaco; Francisco Bello Morgado; Francisco Moscoso Costa; João Carmo; João Mesquita; Daniel Nascimento Matos; Gustavo Da Rocha Rodrigues; Pedro Adragão; Miguel Mendes
Abstract
<p>Objective: To compare the impact of transvenous and subcutaneous implantable cardioverter defibrillators (T-ICD, S-ICD) shocks in a propensity matched population. <br /> <br /> Methods: Single-center observational registry including 845 consecutive patients (pts) who underwent S-ICD/T-ICD implantation for either primary or secondary prevention of SCD (2007-2016). <br /> <br /> Following adjustment for age, gender, primary/secondary prevention, ischemic etiology, atrial fibrillation (AF), left ventricular systolic dysfunction, and current beta-blocker therapy, propensity-score (PS) matched 65 S-ICD with 130 T-ICD pts in a 1:2 fashion, respectively. <br /> <br /> We determined mortality increment after ICD shocks depending on the device type. <br /> <br /> Results: After a median follow-up of 4,9± 2,8 years there were 35 deaths (18%), 71pts (34%) received ICD shocks, and 53 pts (28%) received ICD appropriated shocks. The mortality among pts that experienced appropriated shocks was higher than among pts without shocks (26% vs 15%; P=0,093). Inappropriated shocks were not related to mortality. <br /> <br /> 1 year after an appropriated shock the mortality was equal between S-ICD and T-ICD pts (8%; Log Rank: 0,89). <br /> <br /> Conclusion: S-ICDs shocks were not associated to a better outcome compared to T- ICD shocks.</p>
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