Published in:
01-06-2012 | Perspectives
Cardiac implantable electronic devices in end-stage renal disease patients: preservation of central venous circulation
Authors:
Gustavo Lopera, Gerald A. Beathard, Jose Exaire, Roger Carrillo
Published in:
Journal of Interventional Cardiac Electrophysiology
|
Issue 1/2012
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Excerpt
Cardiovascular disease is the leading cause of death in patients with end-stage renal disease (ESRD). In the United States Renal Data System database, 25–29.7% of cardiac deaths are attributable to arrhythmic mechanisms [
1,
2]. Ventricular fibrillation (VF) and hemodynamically unstable ventricular tachycardia (VT) likely remain the most common initiating and potentially reversible mechanisms of out-of-hospital sudden cardiac death (SCD). Defibrillation is the only predictably effective therapy for reverting VF and pulseless VT to an effective rhythm for restoration of blood flow [
3]. The expanding indications of implantable cardioverter-defibrillator (ICD) therapy for primary and secondary prevention of SCD have significantly increased the patient population with cardiac implantable electronic devices (CIEDs) [
4]. …