Sudden cardiac death (SCD) is defined as a natural death due to cardiac causes, heralded by an abrupt loss of consciousness within one hour of the onset of acute symptoms. It is mostly initiated by a sudden inappropriate and extreme increase in heart rate (typically...
Subcutaneous implantable cardioverter defibrillator (ICD)
Cardiovascular disease is a major public health issue accounting for almost 17 million deaths per year globally. According to estimates, 40-50% of them are sudden cardiac deaths. Approximately 6 million sudden cardiac deaths are caused by ventricular tachyarrhythmias....
Health technology assessment (HTA) of public access defibrillation
On 25 July 2013, the then Minister for Health, Dr James Reilly, requested that the Health Information and Quality Authority undertake a health technology assessment (HTA) of a public access defibrillation programme. This was with the aim of informing decision-making...
Static Automated External Defibrillators for Opportunistic Use by Bystanders
The report focuses on the use of AEDs as a standalone intervention, i.e. not incorporated into a coordinated public access defibrillation (PAD) programme, because this is currently the dominant practice in Belgium. The question was not to advise the government about...
Assessment on Implantable Defibrillators and the Evidence for Primary Prevention of Sudden Cardiac Death
Implantable cardioverter–defibrillators (ICDs) are battery-powered implantable devices that monitor heart rhythm and deliver therapy in the form of either electric shock or antitachycardia pacing (ATP) when a life-threatening ventricular arrhythmia is detected. ICDs...
Implantable cardiac resynchronization therapy and defibrillator (CRT-D) in patient with heart failure
In Italy, cardiovascular disease is a leading cause of mortality, morbidity, and disability. Among all cardiovascular diseases, a prominent role is played by heart failure (HF), with 600,000 people suffering from heart failure. It is estimated that the frequency of...
Use of Automated External Defibrillators in Cardiac Arrest: An Evidence-Based Analysis
The objectives were to identify the components of a program to deliver early defibrillation that optimizes the effectiveness of automated external defibrillators (AEDs) in out-of-hospital and hospital settings, to determine whether AEDs are cost-effective,...
Internet-Based Device-Assisted Remote Monitoring of Cardiovascular Implantable Electronic Devices: An Evidence-Based Analysis
The objective of this Medical Advisory Secretariat (MAS) report was to conduct a systematic review of the available published evidence on the safety, effectiveness, and cost-effectiveness of Internet-based device-assisted remote monitoring systems (RMSs) for...
Remote Monitoring of Implantable Cardioverter-Defibrillators, Cardiac Resynchronization Therapy and Permanent Pacemakers: A Health Technology Assessment
People suffering from certain types of heart failure, or an abnormal heart rate or rhythm, may have one ofseveral electronic devices implanted (e.g., a defibrillator or a pacemaker). However, patients require routine follow up in-clinic for clinical assessment...
Static Automated External Defibrillators for Opportunistic Use by Bystanders
Aims and Scope The first research question submitted to KCE concerned the clinical- and cost-effectiveness of the provision of publicly accessible automated external defibrillators (AED) intended for opportunistic use by bystanders who witness a cardiac...
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