2012 NIH Study ICD Impact on Patient Mortality and Morbidity

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David882
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2012 NIH Study ICD Impact on Patient Mortality and Morbidity

Post by David882 » February 15th, 2016, 8:28 pm

http://www.ncbi.nlm.nih.gov/pmc/article ... 392224.pdf

Published in 2012 so this is not cutting edge. It may have already been posted on the ICD message board my bad if it has been posted.

Conclusion:
While ICD advisories did not impact mortality in the group as a whole, impact on individuals may involve different management decisions. Advisory-related malfunctions
were identified in 4.0% of devices under advisory, and non-advisory related malfunctions were identified in 2.1% of devices in this group. Vigilance for these events required non-
invasive actions such as increased monitoring, which were more common than device replacements. To address these issues, there needs to be a centralized and accessible medium
for timely reporting of device malfunction, advisories, and mortality, and further evidence-based consensus for manufacturer and physician management of safety advisories.

Does anyone know if a centralized clearing house for evidence based ICDs mishaps was ever set up?

If you do please post link.
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With Respect,
David

11 Sept 2012 / Idiopathic Ventricular Fibrillation
At about 2AM I started storming at home, and in the ambulance, and in the ER.
Sometimes I restated and sometimes I had to be defibrillated.
A number of times I went into arrest and stopped breathing.
External defibrillation count exceeded 18 and at some point the team induced a coma.
24 hours later I was revived and have never had another event.
13 Sept 2012 / Medtronic ICD was implanted.
My diagnosis is still idiopathic.

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Ozchrissy
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Joined: September 27th, 2008, 9:28 am
Location: Australian

Re: 2012 NIH Study ICD Impact on Patient Mortality and Morbidity

Post by Ozchrissy » February 15th, 2016, 8:40 pm

Interesting question David, I have heard some scary reports recently of EP's inserting ICD's and them not operating as they should, not due to manufacturers issues, but due to the lack of expertise by the EP. A lot of the issues with our ICD's are due to the fact that the EP's are not programming our devices correctly. How would they differentiate between a 'manufacturers' problem and the EP's problem.
“I am not what happened to me, I am what I choose to become.” Carl Jung

Diagnosed with cardiomyopathy in 10/99
LBBB & VT diagnosed Feb 06
Guidant Biventricular Pacer ICD inserted Feb 06: Boston Scientific Incepta CRT-D inserted May, 2012
Oesophageal Cancer, 2012, Gall Bladder & Septicemia 2014 resulting in VFib and severe heart damage
Bare Metal Stent May, 2012 Mitral Valve replaced 2015
Meds: Entresto, Bicard, Coralan, Eurtorxsiq, Frusehexl, Spiractin, Sigmaxin, Creon, Warfarin,
Appropriate Shocks for Ventricular VFib.

David882
Posts: 882
Joined: July 12th, 2014, 8:58 pm
Location: 49 06' 42.42" N 113 49' 52.52" W

Re: 2012 NIH Study ICD Impact on Patient Mortality and Morbidity

Post by David882 » February 15th, 2016, 9:45 pm

OzC:

Refining data and data collection is really not that hard, it takes planning.

If the clearing house was started they will have some sort of data management controls in place.

Your question is of value but only if the clearly house was implemented.

If there is a clearing house I will go look for your answer but if there is no clearing house then there will be no answer.

i do hope this makes sense.
With Respect,
David

11 Sept 2012 / Idiopathic Ventricular Fibrillation
At about 2AM I started storming at home, and in the ambulance, and in the ER.
Sometimes I restated and sometimes I had to be defibrillated.
A number of times I went into arrest and stopped breathing.
External defibrillation count exceeded 18 and at some point the team induced a coma.
24 hours later I was revived and have never had another event.
13 Sept 2012 / Medtronic ICD was implanted.
My diagnosis is still idiopathic.

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