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Implantation of ICD in a patient with heart failure with mildly reduced ejection fraction

Year: 2025
Type: article
Abstract: Heart failure affects approximately 2% of the adult population in developed countries, with prevalence escalating to 10% among those aged over 70 years. Patients with Heart Failure with Mildly Reduced Ejection Fraction (HFmrEF) exhibit a risk profile comparable to those with reduced ejection fraction (EF), necessitating their classification as high-risk and tailoring therapeutic goals accordingly. The clinical case presented here of a patient with HFmrEF and elevated arrhythmic risk underscores the need for refining indications for primary prevention of sudden cardiac death (SCD). Furthermore, there is an imperative to identify and validate a panel of investigations to guide decision-making for patients with borderline indications for high-voltage device implantation. This approach aims to optimize the benefit-to-risk ratio for these individuals.
Authors: Biserov, Denislav Emilov, Mihaylova, Mariana Dimitrova Yoncheva
Language: English
Field: Medicine
Open Access status: hybrid
OpenAlex ID: W7087814834
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