Table 1.
Study | N | Inclusion criteria | Intervention | Follow-up (median) | All-cause mortality | SCD |
---|---|---|---|---|---|---|
CAT [13] | 104 |
LVEF < 30% NYHA 2–3 |
ICD vs OMT | 23 months | Terminated early | |
AMIOVIRT [12] | 103 |
LVEF ≤ 35% NYHA 1–3 NSVT |
ICD vs amio | 24 months | Terminated early | |
SCDHeFT (DCM cohort) [10] | 1211 |
LVEF < 35% NYHA 2–3 |
ICD vs OMT vs amio | 46 months |
I 21.4%, C 27.9% (5 years) HR 0.73; 95% CI 0.50–1.07 p = 0.06 |
|
DEFINITE [11] | 458 |
LVEF < 36% NYHA 1–3 NSVT or PVCs |
ICD vs OMT | 29 months |
I 12.2%, C 17.4% HR 0.65; 95% CI 0.40–1.06 p = 0.08 |
I 1.3%, C 6.1% HR 0.20; 95% CI 0.06–0.71 P = 0.006 |
DANISH [16] | 1116 |
LVEF < 35% NYHA 2–3 (4 if CRT) NT-pro-BNP > 200 pg/ml |
ICD vs OMT | 68 months |
I 21.6%, C 23.4% HR 0.87; 95% CI 0.68–1.12 p = 0.28 |
I 4.3%, C 8.2% HR 0.50; 95% CI 0.31–0.82 p = 0.005 |
Randomized trials investigating effect of implantable cardioverter defibrillators in patients with dilated cardiomyopathy without a history of haemodynamically unstable ventricular arrhythmia
amio amiodarone, C optimal medical therapy arm, CI confidence interval, CRT cardiac resynchronisation therapy, HR hazard ratio, I implantable cardioverter defibrillator therapy arm, ICD implantable cardioverter defibrillator, LVEF left ventricular ejection fraction, NYHA New York Heart Association, NT-pro-BNP N-terminal-pro-peptide brain natriuretic peptide, NSVT non-sustained ventricular tachycardia, PVCs premature ventricular complexes, OMT optimal medical therapy, SCD sudden cardiac death
(Reproduced with permission from: Halliday et al. Circulation [Internet]. 2017;136:215–31. Available from: http://circ.ahajournals.org/lookup/doi/10.1161/CIRCULATIONAHA.116.0271340) [9]