[Care of patients with implanted cardioverters-defibrillators: what every physician should know]

Area of Science:

• Cardiology
• Medical Devices
• Electrophysiology

Context:

• Implantable cardioverter defibrillators (ICDs) are standard in managing malignant chamber arrhythmias.
• Their use spans both secondary and primary prevention of sudden cardiac death.
• A decade of clinical experience informs current therapeutic strategies.

Purpose:

• To survey frequent clinical situations and management guidelines for ICD therapy.
• To review common complications associated with ICD implantation and use.
• To address frequently asked questions from internal medicine physicians and general practitioners regarding patients with ICDs.

Summary:

• This review analyzes data from 182 monitored patients and existing literature on ICD therapy.
• It details common scenarios, established rules, and potential complications of ICDs.
• The study aims to provide practical insights for clinicians managing patients with these devices.

Impact:

• Enhances understanding of ICD therapy for a broad range of medical professionals.
• Aids in optimizing patient care and reducing complications associated with ICDs.
• Provides a valuable resource for primary care physicians and internists managing patients with arrhythmias and ICDs.