CME: Defibrillator Use After Myocardial Infarction in Older Adults

CME: Defibrillator Use After Myocardial Infarction in Older Adults
Author Information (click to view)

Sean D. Pokorney, MD, MBA

Electrophysiology Fellow, Division of Cardiology
Duke University Medical Center

Sean D. Pokorney, MD, MBA, has indicated to Physician’s Weekly that he has or has had no financial interests to report.

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Sean D. Pokorney, MD, MBA (click to view)

Sean D. Pokorney, MD, MBA

Electrophysiology Fellow, Division of Cardiology
Duke University Medical Center

Sean D. Pokorney, MD, MBA, has indicated to Physician’s Weekly that he has or has had no financial interests to report.

A study has found that fewer than 10% of eligible patients who suffer a myocardial infarction (MI) with low ejection fraction receive an implantable cardioverter-defibrillator (ICD) within 1 year after their MI. These findings occurred despite ICD implantation being linked to a lower mortality risk at 2 years.
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Readings & Resources (click to view)

Pokorney SD, Miller AL, Chen AY, et al. Implantable cardioverter-defibrillator use among Medicare patients with low ejection fraction after acute myocardial infarction. JAMA. 2015;313:2433-2440. Available at: http://jama.jamanetwork.com/article.aspx?articleid=2338252.

Steinbeck G, Andresen D, Seidl K, et al; IRIS Investigators. Defibrillator implantation early after myocardial infarction. N Engl J Med. 2009;361:1427-1436.

Miller AL, Gosch K, Daugherty SL, et al. Failure to reassess ejection fraction after acute myocardial infarction in potential implantable cardioverter/defibrillator candidates: insights from the Translational Research Investigating Underlying disparities in acute Myocardial infarction Patients’ Health Status (TRIUMPH) registry. Am Heart J. 2013;166:737-743.

Chan PS, Nallamothu BK, Spertus JA, et al. Impact of age and medical comorbidity on the effectiveness of implantable cardioverter-defibrillators for primary prevention. Circ Cardiovasc Qual Outcomes. 2009;2:16-24.

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