Skip Navigation


Europace Advance Access originally published online on November 13, 2006
Europace 2006 8(12):1054-1056; doi:10.1093/europace/eul123
This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
8/12/1054    most recent
eul123v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (8)
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Davis, D. R.
Right arrow Articles by Birnie, D. H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Davis, D. R.
Right arrow Articles by Birnie, D. H.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

ICD

Influence of gender on ICD implantation for primary and secondary prevention of sudden cardiac death

Darryl R. Davis, Anthony S.L. Tang, Robert Lemery, Martin S. Green, Michael H. Gollob and David H. Birnie*

Division of Cardiology, University of Ottawa Heart Institute, H145-1053 Carling Avenue, Ottawa, Ontario, Canada K1Y 4E9

Aims This study sought to investigate the influence of gender on access to ICD therapy and examine the influence of gender on subsequent ICD shock experience.

Methods and results The records of 353 consecutive patients (140 and 213 secondary prevention, respectively) who received their first ICD between January 2000 and March 2004 were reviewed. All patients fulfilled criteria for primary or secondary prevention ICD implantation. Baseline characteristics and ICD shock experiences were compared. Female patients were younger and less likely to have a history of ischaemic heart disease or atrial arrhythmias (P<0.01). In contrast, female patients were more likely to have heart failure and diabetes (P<0.01). Markedly fewer females received an ICD for either primary (M:F ratio 8.5:1, P<0.01) or secondary (M:F ratio 4.5:1, P<0.01) prevention. Further, significantly fewer female patients received an ICD for MADIT II indications (M:F 11.2:1, P<0.01). Over the mean follow-up of 1.8±1.1 years, gender had no influence upon the likelihood of receiving either an appropriate or an inappropriate shock (P=ns).

Conclusion Although male patients accounted for the great majority (85%) of all ICD recipients, there was no evidence of influence of gender on the likelihood of receiving an appropriate or inappropriate shock.

Key Words: Arrhythmias, Implantable cardioverter defibrillators, Gender, Sudden cardiac death

* Corresponding author: Tel.: +1 613 761 4914; fax: +1 613 761 4407. E-mail address: dbirnie{at}ottawaheart.ca


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 CMAJHome page
D. H. Birnie MB ChB MD, C. Sambell BSc, H. Johansen PhD, K. Williams MS, R. Lemery MD, M. S. Green MD, M. H. Gollob MD, D. S. Lee MD PhD, and A. S.L. Tang MD
Use of implantable cardioverter defibrillators in Canadian and US survivors of out-of-hospital cardiac arrest
Can. Med. Assoc. J., July 3, 2007; 177(1): 41 - 46.
[Abstract] [Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.