Feasibility of implantable cardioverter defibrillator use in elderly patients: A case series of octogenarians

Peter A. Noseworthy, Ilan Lashevsky, Paul Dorian, Mary Greene, Suzan Cvitkovic, David Newman

Research output: Contribution to journalArticle

32 Scopus citations

Abstract

This article addresses the feasibility and safety of ICD therapy in patients >80 years of age. Recent trials have expanded the indication for ICD implantation to include an increasing number and variety of patients. The feasibility of ICD implantation in elderly patients has not been adequately studied. A prospectively collected single center ICD database was analyzed to assess the safety and feasibility of ICD implantation in elderly patients. Patients were divided based on age into two groups (group 1: 70-79 years of age, n = 183; group 2: ≥80 years of age, n = 29). The two groups were similar in gender distribution, NYHA class, and indication for implantation. The actuarial survival was not significantly different between groups 1 and 2 (P > 0.05; primary endpoint), with a 1-year survival of 91% and 93% in groups 1 and 2, respectively, (P = NS). The complication rates at the time of ICD implantation were similar in groups 1 and 2 (6.6% and 13.1%, respectively, P = 0.16). Age alone may not be sufficient criteria to exclude ICD implantation. The current consensus guidelines for ICD implantation appear to be generalizable to treating octogenarians who are otherwise medically fit.

Original languageEnglish (US)
Pages (from-to)373-378
Number of pages6
JournalPACE - Pacing and Clinical Electrophysiology
Volume27
Issue number3
DOIs
StatePublished - Mar 1 2004

Keywords

  • Feasibility
  • ICD
  • Implantable cardioverter defibrillator
  • Octogenarians
  • Safety

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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