To compare baseline characteristics, ICU requirements, and peri-procedural outcomes among patients receiving single-chamber ICDs, dual-chamber ICDs, and CRT-Ds in Germany, focusing on specific clinical outcomes.
Key Findings:
CRT-D patients were significantly older (mean age 67.5 years) compared to single-chamber (63.0 years) and dual-chamber (63.7 years) ICD patients (p < 0.01).
Higher incidence of obesity (12.3%), diabetes (30.2%), and chronic renal disease (31.0%) in CRT-D patients (p < 0.01).
Dual-chamber ICD recipients had a higher prevalence of psychological disorders (22.7%) and a history of sudden cardiac arrest (p < 0.01).
CRT-D patients had a significantly higher prevalence of left bundle branch block (46.3%) compared to other groups (p < 0.01).
Interpretation:
The study highlights significant differences in patient demographics and hospitalization outcomes among different ICD device types, emphasizing the need for tailored peri-procedural management to improve patient outcomes.
Limitations:
Retrospective design may introduce selection bias, potentially affecting the generalizability of the findings.
Data limited to 11 centers may not represent all practices in Germany, which could influence the applicability of results.
Conclusion:
Understanding hospitalization patterns and complications associated with different ICD devices can inform clinical decision-making and resource allocation, ultimately enhancing patient care.
by Tugba Aktemur Oezalp, Kohei Ukita, Thomas Riemer, Jochen Senges, Johannes Brachmann, Thorsten Lewalter, Thomas Deneke, Nicolas Doll, Lars Eckardt, Daniel Steven, Ibrahim Akin, Roland Richard Tilz
