Age Alone No Barrier to ICD

From: MedPage Today

The decision to forgo implanting a defibrillator (ICD) in the elderly should not be based on age alone, but should include other risk factors for death, a large registry study found.

Despite the fact that the risk of death increased incrementally with age, the rates of appropriate and inappropriate shocks were similar across all age groups, according to Douglas S. Lee, MD, PhD, from the Institute for Clinical Evaluative Sciences at the University of Toronto, Ontario, and colleagues.

This held true in both primary and secondary prevention ICD patients, they reported online in Circulation: Journal of the American Heart Association.

The findings suggest that clinicians should "consider factors that predispose to mortality despite defibrillator implantation," they said.

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