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The IC-D score for predicting prophylactic cardioverter-defibrillator implantation following acute myocardial infarction
- Source :
- PACE-Pacing and Clinical Electrophysiology, PACE-Pacing and Clinical Electrophysiology, 2021, 44 (6), pp.973-979. ⟨10.1111/pace.14244⟩
- Publication Year :
- 2021
-
Abstract
- BACKGROUND A reduced left ventricular ejection fraction (LVEF) ≤35% ≥6 weeks following an acute myocardial infarction (MI) may indicate prophylactic implantation of a cardioverter-defibrillator (ICD). We sought to find predictors of absence of significant left ventricular (LV) remodeling post-MI. METHODS All consecutive patients hospitalized for acute MI with an LVEF ≤35% at discharge in our institution from 2010 were retrospectively included. Patients were assigned to two groups according to the persistence of an LVEF ≤35% (ICD+) or a recovery >35% (ICD-). Logistic regression was performed to build a predictive score, which was then externally validated. RESULTS Among a total of 1533 consecutive MI patients, 150 met inclusion criteria, 53 (35%) in the ICD+ group and 97 in the ICD group. After multivariable analyses, an LVEF ≤25% at discharge (adjusted OR 6.23 [2.47 to 17.0], p 4600 UI/L (adjusted OR 9.99 [4.27 to 25.3], p
- Subjects :
- Male
medicine.medical_specialty
030204 cardiovascular system & hematology
Logistic regression
[SHS]Humanities and Social Sciences
03 medical and health sciences
0302 clinical medicine
Predictive Value of Tests
Internal medicine
medicine
Humans
030212 general & internal medicine
Myocardial infarction
Acute mi
ComputingMilieux_MISCELLANEOUS
Aged
Retrospective Studies
Ejection fraction
business.industry
Anticoagulants
Stroke Volume
General Medicine
Middle Aged
medicine.disease
Icd implantation
Defibrillators, Implantable
Cardiology
Population study
ST Elevation Myocardial Infarction
Female
Myocardial necrosis
Cardiology and Cardiovascular Medicine
business
Validation cohort
Biomarkers
Subjects
Details
- ISSN :
- 15408159 and 01478389
- Volume :
- 44
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Pacing and clinical electrophysiology : PACEREFERENCES
- Accession number :
- edsair.doi.dedup.....7be2a5c37db06f81e364165995e43dfb