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ICD early after myocardial infarction: it is really necessary to wait 40 days before implantation?
Maria Giulia Bellicini1, Angelica Cersosimo1, Manuel Cerini1
1Cardiology Department, Department of Molecular and Translational Medicine, Spedali Civili Hospital, University of Brescia, Piazzale Spedali Civili 1, 25123, Brescia, Italy.
Insights
Current guidelines suggest delaying Implantable Cardioverter-Defibrillator (ICD) placement post-myocardial infarction (MI). However, early ICD or LifeVest use may benefit high-risk acute coronary syndrome (ACS) patients facing early arrhythmic death risk.
Area of Science:
- Cardiology
- Electrophysiology
- Medical Devices
Background:
- Current European Society of Cardiology (ESC) guidelines recommend against Implantable Cardioverter-Defibrillator (ICD) implantation within 40 days following myocardial infarction (MI).
- This recommendation is based on older evidence that has several limitations.
- A notable number of patients remain at high risk of sudden arrhythmic death in the early post-acute coronary syndrome (ACS) period.
Abstract:
ESC Guidelines don't recommend ICD implantation within 40 days after MI, on the basis of old evidence with several limitations. However, a significant number of patients remain at high risk of arrhythmic death also in the early period after ACS, in these patients early ICD implantation or LifeVest may be use with benefit on survival.
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