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학술저널
저자정보
박규환 (영남대학교) 이찬희 (영남대학교) 정병천 (대구파티마병원) 조용근 (경북대학교) 배명환 (경북대학교) 김윤년 (계명대학교) 박형섭 (계명대학교) 한성욱 (계명대학교) 이영수 (가톨릭대학교) 현대우 (안동병원) 김준 (부산대학교) 김대경 (인제대학교) 차태준 (고신대학교) 신동구 (영남대학교)
저널정보
대한심장학회 Korean Circulation Journal Korean Circulation Journal Vol.47 No.1
발행연도
2017.1
수록면
72 - 81 (10page)

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Background and Objectives: This study was performed to describe clinical characteristics of patients with left ventriculars (LV) dysfunction and implantable cardioverter-defibrillator (ICD), and to evaluate the effect of ICD therapy on survival in Yeongnam province of Korea. Subjects and Methods: From a community-based device registry (9 centers, Yeongnam province, from November 1999 to September 2012), 146 patients with LV dysfunction and an ICD implanted for primary or secondary prophylaxis, were analyzed. The patients were divided into two groups, based on the etiology (73 with ischemic cardiomyopathy and 73 with non-ischemic cardiomyopathy), and indication for the device implantation (36 for primary prevention and 110 for secondary prevention). The cumulative first shock rate, all cause death, and type and mode of death, were determined according to the etiology and indication. Results: Over a mean follow-up of 3.5 years, the overall ICD shock rate was about 39.0%. ICD shock therapy was significantly more frequent in the secondary prevention group (46.4% vs. 16.7%, p=0.002). The cumulative probability of a first appropriate shock was higher in the secondary prevention group (p=0.015). There was no significant difference in the all-cause death, cardiac death, and mode of death between the groups according to the etiology and indication. Conclusion: Studies from this multicenter regional registry data shows that in both ischemic and non-ischemic cardiomyopathy patients, the ICD shock therapy rate was higher in the secondary prevention group than primary prevention group.

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