(FIT)-Module 5 Workshop 8: Device Cases-Poole Case 10 Answer

Video Transcription

Video Summary

The video discusses the decision-making process for implanting an Implantable Cardioverter Defibrillator (ICD) in patients who have had an out-of-hospital cardiac arrest without a reversible cause like STEMI. It highlights the importance of assessing the patient's cardiac function, coronary anatomy, and whether complete revascularization is possible. The 2017 guidelines state ICDs are recommended for secondary prevention in ischemic heart disease patients with a history of cardiac arrest absent a reversible cause, if meaningful survival is expected. Considerations include cases with severe electrolyte disturbance or arrhythmia from medication as reversible causes.

Keywords

Implantable Cardioverter Defibrillator

Out-of-hospital Cardiac Arrest

Secondary Prevention

Ischemic Heart Disease

2017 Guidelines