Would you consider an ICD for secondary prevention in an otherwise previously healthy adult found to have severe LV systolic dysfunction admitted s/p VF/VT arrest due to profound hypokalemia and hypomagnesemia, or defer implantation given resolution of arrhythmias after correcting electrolyte abnormalities?

If plan for ICD implantation, when would be the best timing to perform this?

Answer from: at Community Practice

I would need to have much more information. For example, does this person have CAD and/or a definable etiology for the cardiomyopathy? Does he/she/they have a family history or genetic profile that might influence the decision. Importantly, I would not dismiss a secondary ICD in this person based on...

Comments

at Yuma Regional Medical Center Specialty Clinics
If the patient has severe LV dysfunction they shou...

at Hunterdon Cardiovascular Associates
I have had a patient with a totally normal heart o...

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