Improving the utilization of implantable cardioverter defibrillators for sudden cardiac arrest prevention (Improve SCA) in developing countries: Clinical characteristics and reasons for implantation refusal.

9 páginas

Autores:: Singh, B
Zhang, S
Ching, CK
Huang, D
Liu, YB
Rodriguez, DA
Hussin, A.
Kim, YH
Chasnoits, AR
Cerkvenik, J
Muckala, KA
Cheng, A.

Tipo de recurso:

Fecha de publicación:: 2018

Institución:: Universidad de la Sabana

Repositorio:: Repositorio Universidad de la Sabana

Idioma:: eng

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dc.title.es_CO.fl_str_mv	Improving the utilization of implantable cardioverter defibrillators for sudden cardiac arrest prevention (Improve SCA) in developing countries: Clinical characteristics and reasons for implantation refusal.
dc.title.alternative.en.fl_str_mv	Improving the utilization of implantable cardioverter defibrillators for sudden cardiac arrest prevention Improve SCA in developing countries Clinical characteristics and reasons for implantation refusal.
title	Improving the utilization of implantable cardioverter defibrillators for sudden cardiac arrest prevention (Improve SCA) in developing countries: Clinical characteristics and reasons for implantation refusal.
spellingShingle	Improving the utilization of implantable cardioverter defibrillators for sudden cardiac arrest prevention (Improve SCA) in developing countries: Clinical characteristics and reasons for implantation refusal. Implantable cardioverter defibrillator Primary prevention Secondary prevention Sudden cardiac arrest Underutilization
title_short	Improving the utilization of implantable cardioverter defibrillators for sudden cardiac arrest prevention (Improve SCA) in developing countries: Clinical characteristics and reasons for implantation refusal.
title_full	Improving the utilization of implantable cardioverter defibrillators for sudden cardiac arrest prevention (Improve SCA) in developing countries: Clinical characteristics and reasons for implantation refusal.
title_fullStr	Improving the utilization of implantable cardioverter defibrillators for sudden cardiac arrest prevention (Improve SCA) in developing countries: Clinical characteristics and reasons for implantation refusal.
title_full_unstemmed	Improving the utilization of implantable cardioverter defibrillators for sudden cardiac arrest prevention (Improve SCA) in developing countries: Clinical characteristics and reasons for implantation refusal.
title_sort	Improving the utilization of implantable cardioverter defibrillators for sudden cardiac arrest prevention (Improve SCA) in developing countries: Clinical characteristics and reasons for implantation refusal.
dc.creator.fl_str_mv	Singh, B Zhang, S Ching, CK Huang, D Liu, YB Rodriguez, DA Hussin, A. Kim, YH Chasnoits, AR Cerkvenik, J Muckala, KA Cheng, A.
dc.contributor.author.none.fl_str_mv	Singh, B Zhang, S Ching, CK Huang, D Liu, YB Rodriguez, DA Hussin, A. Kim, YH Chasnoits, AR Cerkvenik, J Muckala, KA Cheng, A.
dc.subject.es_CO.fl_str_mv	Implantable cardioverter defibrillator Primary prevention Secondary prevention Sudden cardiac arrest Underutilization
topic	Implantable cardioverter defibrillator Primary prevention Secondary prevention Sudden cardiac arrest Underutilization
description	9 páginas
publishDate	2018
dc.date.issued.none.fl_str_mv	2018
dc.date.available.none.fl_str_mv	2019-08-26T19:44:13Z
dc.date.accessioned.none.fl_str_mv	8/26/2019 14:44
dc.type.en.fl_str_mv	article
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dc.identifier.other.none.fl_str_mv	https://onlinelibrary.wiley.com/doi/full/10.1111/pace.13526
dc.identifier.uri.none.fl_str_mv	http://hdl.handle.net/10818/36840
dc.identifier.doi.none.fl_str_mv	10.1111/pace.13526
url	https://onlinelibrary.wiley.com/doi/full/10.1111/pace.13526 http://hdl.handle.net/10818/36840
identifier_str_mv	10.1111/pace.13526
dc.language.iso.es_CO.fl_str_mv	eng
language	eng
dc.relation.ispartofseries.none.fl_str_mv	Pacing Clin Electrophysiol.2018; 41: 1619–1626
dc.rights.*.fl_str_mv	Attribution-NonCommercial-NoDerivatives 4.0 International
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dc.rights.uri.*.fl_str_mv	http://creativecommons.org/licenses/by-nc-nd/4.0/
rights_invalid_str_mv	Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ http://purl.org/coar/access_right/c_abf2
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dc.publisher.es_CO.fl_str_mv	Pacing Clin Electrophysiol
dc.source.es_CO.fl_str_mv	Universidad de La Sabana Intellectum Repositorio Universidad de La Sabana
institution	Universidad de la Sabana
bitstream.url.fl_str_mv	https://intellectum.unisabana.edu.co/bitstream/10818/36840/3/license.txt https://intellectum.unisabana.edu.co/bitstream/10818/36840/2/license_rdf
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repository.name.fl_str_mv	Intellectum Universidad de la Sabana
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spelling	Singh, BZhang, SChing, CKHuang, DLiu, YBRodriguez, DAHussin, A.Kim, YHChasnoits, ARCerkvenik, JMuckala, KACheng, A.8/26/2019 14:442019-08-26T19:44:13Z2018https://onlinelibrary.wiley.com/doi/full/10.1111/pace.13526http://hdl.handle.net/10818/3684010.1111/pace.135269 páginasBACKGROUND: Despite available evidence that implantable cardioverter defibrillators (ICDs) reduce all-cause mortality among patients at risk for sudden cardiac death, utilization of ICDs is low especially in developing countries. OBJECTIVE: To summarize reasons for ICD or cardiac resynchronization therapy defibrillator implant refusal by patients at risk for sudden cardiac arrest (Improve SCA) in developing countries. METHODS: Primary prevention (PP) and secondary prevention (SP) patients from countries where ICD use is low were enrolled. PP patients with additional risk factors (syncope, ejection fraction < 25%, nonsustained ventricular tachycardia [NSVT], or frequent premature ventricular complexes) were further categorized as "1.5 PP patients." Candidates who declined implantation were asked for reasons for refusal. Baseline factors that may have influenced the implant decision were examined using logistic regression. RESULTS: Among 3892 patients, the implant refusal rate was 46.5% among PP patients (n = 2700), and 10.3% among SP patients (n = 1192). The most common refusal reason was inability to pay for the device (53.8%), followed by not believing in the benefits of the ICD (19.4%). Among PP ICD candidates, those with no syncope, no NSVT, no premature ventricular contractions, shorter QRS duration, no atrial arrhythmias, and no left bundle branch block were more likely to refuse implant. Among SP candidates, a history of cardiovascular surgery and no sinus node dysfunction were significant predictors of ICD refusal. Additionally, countries had significant differences in patient refusal rates among PP and SP groups. CONCLUSION: Implant refusal among PP patients is high in many countries. Increased reimbursement and better awareness of the benefits of an ICD could increase their utilization.application/pdfengPacing Clin ElectrophysiolPacing Clin Electrophysiol.2018; 41: 1619–1626Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/http://purl.org/coar/access_right/c_abf2Universidad de La SabanaIntellectum Repositorio Universidad de La SabanaImplantable cardioverter defibrillatorPrimary preventionSecondary preventionSudden cardiac arrestUnderutilizationImproving the utilization of implantable cardioverter defibrillators for sudden cardiac arrest prevention (Improve SCA) in developing countries: Clinical characteristics and reasons for implantation refusal.Improving the utilization of implantable cardioverter defibrillators for sudden cardiac arrest prevention Improve SCA in developing countries Clinical characteristics and reasons for implantation refusal.articlepublishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_6501LICENSElicense.txtlicense.txttext/plain; charset=utf-8498https://intellectum.unisabana.edu.co/bitstream/10818/36840/3/license.txtf52a2cfd4df262e08e9b300d62c85cabMD53CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8805https://intellectum.unisabana.edu.co/bitstream/10818/36840/2/license_rdf4460e5956bc1d1639be9ae6146a50347MD5210818/36840oai:intellectum.unisabana.edu.co:10818/368402022-05-10 05:18:06.22Intellectum Universidad de la Sabanacontactointellectum@unisabana.edu.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

Improving the utilization of implantable cardioverter defibrillators for sudden cardiac arrest prevention (Improve SCA) in developing countries: Clinical characteristics and reasons for implantation refusal.

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