A scorecard of four risk factors can help clinicians determine which patients with nonischemic cardiomyopathy would benefit from an implantable cardioverter defibrillator, researchers have found. ACPIM2023
at 5 years was 42% in the high-risk group, 24% in the intermediate-risk group, and 15% in the low-risk group. The cumulative risk of fast ventricular tachycardia/ventricular fibrillation during 5 years of follow-up was 31%, 19%, and 9% in patients with high-, intermediate- and low-risk scores, respectively.
While the four-factor criteria that the study investigators have proposed might prove helpful, Goldberger said, further risk stratification is necessary even in the low-risk group to"identify within that group the ones that are really low risk." Risks involved with implanting ICDs include infection; device malfunction requiring additional surgery; and painful, inappropriate shocks.
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