The National ICD Registry, a repository of Implantable Cardiac Defibrillators (ICD) implantation data developed through a partnership of the Heart Rhythm Society (HRS) and the American College of Cardiology (ACC) Foundation, has released the National ICD Registry Annual Report for 2009.
The annual report includes data that span over four years and is the largest repository for ICD implantation data. The Registry is accruing ICD implants at the rate of 10,000 per month with 79 percent of implants in the Registry being performed in hospitals that enter all data on patients regardless of device indication or patient age. The 2009 report includes data on 486,025 ICD implantations from 1,434 participating hospitals and 5,246 implanting physicians. Key findings in the report are:
- Total complications for new implants (including death in the laboratory) have decreased over time from 3.77% in 2006 to 2.87% in 2009.
- Medicare beneficiaries accounted for 68 percent of patients.
- The device was placed for primary prevention in 78 percent of patients, two-thirds with coronary artery disease, the average left ventricular ejection fraction (LVEF) was 29 percent, and 82 percent were NYHA Class II-III.
- Among physicians that provided information about their training, 56 percent completed an electrophysiology fellowship, accounting for 83 percent of ICD implants.
- Of patients receiving cardiac resynchronization therapy with defibrillation backup (CRT-D), 68 percent were shown to meet published national guidelines.
- Of patients receiving an ICD for primary prevention of sudden death, 78 percent met published national guidelines.
For more information about this study, please visit www.heartrhythmjournal.com.