돌연사의 일차적 예방을 위한 삽입형 제세동기 치료

Other Titles
Implantable Cardioverter-Defibrillators for Primary Prevention of Sudden Cardiac Death
Authors
박형섭한성욱
Department
Dept. of Internal Medicine (내과학)
Issue Date
2016
Citation
대한내과학회지, Vol.90(2) : 115-120, 2016
ISSN
1738-9364
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.
Keywords
Implantable cardioverter-defibrillator(삽입형 제세동기)Sudden cardiac death(돌연사)Primary prevention(일차적 예방)
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/33331
Appears in Collections:
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
Keimyung Author(s)
박형섭; 한성욱
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