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Related Experiment Video

Updated: Mar 25, 2026

A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation

A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation

Published on: February 28, 2012

[In Germany too many ICD implantations are performed: pro].

¹Klinik für Kardiologie, St. Marien-Hospital Hamm, Knappenstr. 19, 59071, Hamm, Deutschland. Dirk.boecker@marienhospital-hamm.de.

|February 13, 2016

Summary

This summary is machine-generated.

Implantable cardioverter defibrillators (ICD) offer benefits, but many patients don't benefit. Identifying patients with chronic kidney disease, elderly individuals, or those identifiable by risk scores can reduce unnecessary ICD procedures.

Keywords:

Implantable defibrillators Left ventricular dysfunction Prevention Renal insufficiency Sudden cardiac death

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A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation

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Area of Science:

Cardiology
Medical Devices

Background:

Implantable cardioverter defibrillators (ICDs) are a cornerstone of cardiovascular therapy.
A significant number of ICD procedures are performed on patients who do not derive survival benefits.

Purpose of the Study:

To identify patient subgroups unlikely to benefit from prophylactic ICD therapy.
To suggest strategies for reducing unnecessary ICD implantations.

Main Methods:

Review of existing literature and clinical guidelines.
Analysis of patient populations with specific comorbidities and demographics.

Main Results:

ICD therapy does not prolong life in patients with significant chronic kidney disease.
Prophylactic ICD therapy offers minimal benefit in elderly patients.
Risk scores can identify additional patient groups unsuitable for ICDs.

Conclusions:

Patient selection for ICD implantation requires careful consideration of comorbidities and age.
Optimizing device longevity can reduce the overall number of procedures.
Refining patient selection criteria can improve the efficacy and cost-effectiveness of ICD therapy.