Comment on: Benefit of primary and secondary prophylactic implantable cardioverter defibrillator in elderly patients

Key Points:

  • The balance between survival benefit and potential risks, such as complications from implantation and inappropriate shocks.
  • The impact of ICDs on quality of life in elderly patients, particularly in those with frailty or cognitive decline.
  • The need for individualized risk assessment and shared decision-making when considering ICD therapy in this age group.

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Description

The study on the benefit of primary and secondary prophylactic implantable cardioverter defibrillators (ICDs) in elderly patients addresses a critical aspect of cardiovascular care. While ICDs are well-established for preventing sudden cardiac death, their effectiveness in older populations remains debated due to factors like comorbidities and life expectancy. Key considerations should include:

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