PREVENTION OF SUDDEN CARDIAC DEATH WITH IMPLANTABLE CARDIOVERTER DEFIBRILLATOR IN THE ELDERLY: A SINGLE CENTRE EXPERIENCE

K. Polymeropoulos, A. Vosnakidis, P. Ioannidis, J. Zarifis

Cardiology Department, "G. Papanikolaou" Hospital, Thessaloniki, Greece

Abstract

Introduction: We aim to compare survival, device interventions and complications between elderly (age >75 years) and younger patients (age < 75 years) treated for prevention of Sudden Cardiac Death (SCD) with Implantable Cardioverter Defibrillator (ICD).
Methods: We enrolled 156 patients (136 men), mean age 65?12 years, with an ICD. Group A included 118 patients aged < 75 years (75.6%) and Group B included 38 patients aged > 75 years (24.4%).
Results: Appropriate ICD intervention was noted in 39 patients in Group A (33.1%) and in 7 patients (18.4%) in Group B (OR=2.18 95%CI 0.88-5.4, p=0.09) during 25?17 months. Inappropriate intervention was recorded in 15 patients in Group A (12.7%) and in 6 patients (15.8%) in Group B (OR=1.28 95%CI 0.46-3.59, p=0.62). There were 19 patients with complications (16.1%) in Group A and 3 patients (7.8%) in Group B (p=0.2). We recorded 13 (11%) and 4 (10.5%) deaths respectively (p=0.93).
Conclusions: Age showed a trend to influence appropriate ICD interventions, without affecting survival, inappropriate device interventions and complications between elderly (age>75 years) and younger aged patients in our study population.