Only 8 Percent Of Older ICD-Eligible Heart Failure Patients Get An ICD, Study Finds
This article was originally published in The Gray Sheet
Improved patient follow up and communications may be needed to get implantable defibrillators to more patients who need them, researchers say following a recent study finding fewer than 10 percent of eligible patients with low ejection fraction received an ICD within a year after a heart attack, even though ICD implants were associated with lower risk-adjusted two-year mortality in this group.
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The US Medicare agency opened a national coverage analysis to reconsider coverage indications for implantable cardioverter defibrillators and received input from 35 individuals, organizations, and companies during the initial public comment period. The agency did not specify any particular issues or deficiencies that it wants to address by updating its coverage policy, but CMS has not reconsidered the national coverage policy on ICDs since a major coverage expansion was implemented in 2005.
Discontent among electrophysiologists with the use of registries to track device trends and outcomes was palpable during the annual Heart Rhythm Society meeting earlier this month.
New "real-world" data affirming the long-term benefits of implantable cardioverter defibrillators for heart failure patients highlighted the late-breaking trial sessions of the Heart Rhythm Society's 2009 conference in Boston last week