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돌연사의 일차적 예방을 위한 삽입형 제세동기 치료

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Affiliated Author(s)
박형섭한성욱
Alternative Author(s)
Park, Hyoung SeobHan, Seong Wook
Journal Title
대한내과학회지
ISSN
1738-9364
Issued Date
2016
Keyword
Implantable cardioverter-defibrillator(삽입형 제세동기)Sudden cardiac death(돌연사)Primary prevention(일차적 예방)
Abstract
Implantable cardioverter-defibrillators (ICDs) are an effective treatment strategy for patients with aborted sudden cardiac death
(SCD) and ventricular tachyarrhythmias. rimary prevention of SCD is a strategy involving the use of ICDs in patients who are at
high risk for, but have not had, any previous events of ventricular arrhythmias or cardiac arrest. Several randomized clinical trials
have demonstrated the efficacy of ICDs in the primary prevention of SCD. Therefore, ICD implantation is recommended as a standard
of care by the guidelines in patients who have ischemic or nonischemic cardiomyopathy and a low left ventricular ejection
fraction. However, the rates of ICD implantation as a primary prevention in Korea is quite low compared to western countries. In
this review, we will summarize the results and efficacy of ICDs in the clinical trials about primary prevention of SCD, the current
treatment guidelines, and the reimbursement policy of Korean health insurance. We hope that this review will help broaden the recognition
of importance of ICD implantation for the primary prevention of SCD.
Alternative Title
Implantable Cardioverter-Defibrillators for Primary Prevention of Sudden Cardiac Death
Department
Dept. of Internal Medicine (내과학)
Publisher
School of Medicine
Citation
박형섭 and 한성욱. (2016). 돌연사의 일차적 예방을 위한 삽입형 제세동기 치료. 대한내과학회지, 90(2), 115–120. doi: 10.3904/kjm.2016.90.2.115
Type
Article
ISSN
1738-9364
DOI
10.3904/kjm.2016.90.2.115
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33331
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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