Comment 'MADIT II LVEF < 3...' to ' PCI, ICD, both, or none?'

Comment to PCI, ICD, both, or none?

  • MADIT II LVEF < 30%

    guideline now recommend ICD :

    < 35% if NYHA II-III

    or

    < 30 % even if NYHA I

    or

    < 40% + NSVT - MUSTT study recommend VT stim (EP study) - if positive then ICD

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    • F

      Sorry Khalid, I meant 35% (not 40%, but >40 days post MI) and NYHA-II. His EF by MRI is just above that (39%) which with degree of scarring he has makes me wonder if it will not get any better. Last year I had a patient argued with me on his EF of 38% why not implant ICD. It turned out that he will get disability if he gets ICD, but since I didn't implant it, he fired me!

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