Archives of cardiovascular diseases
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Arch Cardiovasc Dis · Nov 2013
Multicenter Study Comparative Study Observational StudyDefibrillation testing in everyday medical practice during implantable cardioverter defibrillator implantation in France: analysis from the LEADER registry.
Defibrillation testing (DT) is usually performed during implantable cardioverter defibrillator (ICD) implantation. ⋯ In this study, more than 10% of ICD patients were implanted without VF induction. Untested patients appeared to be sicker than tested patients, with a more severe long-term outcome, but without any difference in mortality due to arrhythmic events.
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Arch Cardiovasc Dis · Nov 2013
Multicenter StudySignificance of atypical symptoms for the diagnosis and management of myocardial infarction in elderly patients admitted to emergency departments.
Few recent studies have examined the characteristics of ST-segment elevation myocardial infarction (STEMI) among elderly patients managed in emergency departments (EDs). ⋯ Atypical clinical symptoms of STEMI are common and severe among elderly patients in EDs. Thus, rapid provision of an electrocardiogram to all elderly patients admitted to the ED is essential, even in the absence of cardiovascular symptoms.