The risk of sudden cardiac death in patients with heart failure has declined over time thanks to the sequential introduction of new treatments. However, current guidelines recommendations for implantable cardioverter-defibrillator (ICD) are based on randomized controlled trials (RCTs) carried out in the past three decades and their meta-analyses. To highlight potential changes over time in ICD clinical benefit in primary prevention of sudden cardiac death, we analyzed the temporal trends of RCT risk of mortality outcomes in this time frame.

Declining clinical benefit of ICD in heart failure patients: Temporal trend of mortality outcomes from randomized controlled trials / M. Disertori, M. Masè, M. Rigoni, G. Nollo, F. Ravelli. - In: JOURNAL OF CARDIOLOGY. - ISSN 0914-5087. - 75:2(2020), pp. 148-154. [10.1016/j.jjcc.2019.06.001]

Declining clinical benefit of ICD in heart failure patients: Temporal trend of mortality outcomes from randomized controlled trials

M. Rigoni;
2020

Abstract

The risk of sudden cardiac death in patients with heart failure has declined over time thanks to the sequential introduction of new treatments. However, current guidelines recommendations for implantable cardioverter-defibrillator (ICD) are based on randomized controlled trials (RCTs) carried out in the past three decades and their meta-analyses. To highlight potential changes over time in ICD clinical benefit in primary prevention of sudden cardiac death, we analyzed the temporal trends of RCT risk of mortality outcomes in this time frame.
Heart failure; Implantable cardioverter-defibrillator; Mortality; Risk stratification; Sudden cardiac death
Settore MED/01 - Statistica Medica
2020
https://www.journal-of-cardiology.com/article/S0914-5087(19)30171-6/fulltext
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/936607
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