Yvonne May Fen Chia|Tiew?Hwa Katherine Teng|Esther Tan|Wan Ting Tay|A. Mark Richards|Calvin Chin|Wataru Shimizu|Sang Weon Park|Chung?Lieh Hung|Lieng H. Ling|Tachapong Ngarmukos|Razali Omar|Bambang Budi Siswanto|Calambur Narasimhan|Eugene B. Reyes|Cheuk Man Yu|Inder S. Anand|Michael R. MacDonald|Jonathan Yap|Shu Zhang|Eric A. Finkelstein|Carolyn S.P. Lam
Disparity Between Indications for and Utilization of Implantable Cardioverter Defibrillators in Asian Patients With Heart Failure
National University Heart Centre Singapore|National Heart Centre Singapore|National University of Singapore|National University Heart Centre Singapore|National Heart Centre Singapore|National University of Singapore|National University Heart Centre Singapore|National Heart Centre Singapore|National University of Singapore|National University Heart Centre Singapore|National Heart Centre Singapore|National University of Singapore|National University Heart Centre Singapore|National Heart Centre Singapore|National University of Singapore|National University Heart Centre Singapore|National Heart Centre Singapore|National University of Singapore|National Heart Centre Singapore|National University of Singapore|National University Heart Centre Singapore|National University Heart Centre Singapore|National Heart Centre Singapore|National University of Singapore|National University Heart Centre Singapore|National Heart Centre Singapore|National University of Singapore|National University Heart Centre Singapore|National Heart Centre Singapore|National University of Singapore|National University Heart Centre Singapore|National Heart Centre Singapore|National University of Singapore|National University Heart Centre Singapore|National Heart Centre Singapore|National University of Singapore|National University Heart Centre Singapore|National Heart Centre Singapore|National University of Singapore|National University Heart Centre Singapore|National Heart Centre Singapore|National University of Singapore|National University Heart Centre Singapore|National Heart Centre Singapore|National University of Singapore|National University Heart Centre Singapore|National Heart Centre Singapore|National University of Singapore|National University Heart Centre Singapore|National Heart Centre Singapore|National University of Singapore|National University Heart Centre Singapore|National Heart Centre Singapore|National University of Singapore|National University Heart Centre Singapore|National Heart Centre Singapore|National University of Singapore|National University Heart Centre Singapore|National Heart Centre Singapore|National University of Singapore|National University Heart Centre Singapore|National Heart Centre Singapore|National University of Singapore|National University Heart Centre Singapore|National Heart Centre Singapore|National University of Singapore
implantable cardioverter defibrillators icds lifesaving devices patients heart failure hf reduced ejection fraction however utilization determinants icd insertion asia poorly defined determined utilization associations icd uptake patientperceived barriers device therapy impact icds mortality asian patients hfusing prospective asianhf asian sudden cardiac death heart failure registry 5276 patients symptomatic hf reduced ejection fraction hfref 11 asian regions across 3 income regions high hong kong japan korea singapore taiwan middle china malaysia thailand low india indonesia philippines studied icd utilization clinical characteristics well device perception knowledge assessed baseline among icdeligible patients ef 35 new york heart association class iiiii patients followed primary outcome allcause mortality among 3240 icdeligible patients mean age 589129 years 791 men 389 12 icd recipients utilization varied across asia 15 indonesia 525 japan trend toward greater uptake regions government reimbursement icds lower outofpocket healthcare expenditure icd versus nonicd recipients likely older 6311 versus 5813 year p0001 tertiary versus primary education 349 versus 181 p0001 residing high versus low income region 645 versus 365 p0001 among 2000 icd nonrecipients surveyed 55 either unaware benefits needed information device therapy icd implantation reduced risks allcause mortality hazard ratio 071 95 confidence interval 052097 sudden cardiac deaths hazard ratio 033 95 confidence interval 014079 median followup 417 daysicds reduce mortality risk yet utilization asia low disparity across geographic regions socioeconomic status better patient education targeted healthcare reforms extending icd reimbursement may improve accessurl httpsclinicaltrialsgovct2shownct01633398 unique identifier nct01633398