A Patient Presents with Longstanding, Severe LV Dysfunction. Is There a Role for Additional Risk Stratification Before ICD?

Larisa G. Tereshchenko, Ronald D Berger

Research output: Contribution to journalArticle


Increased longevity of patients with systolic heart failure caused by the use of implantable cardioverter-defibrillators (ICDs) is one of the most successful achievements in contemporary medicine. During the last 2 decades, the scientific community has striven to increase the benefits of ICD usage by specifying indications for primary prevention ICD implantation. Left ventricular ejection fraction is neither highly specific nor is it a highly sensitive risk marker of sudden cardiac death. The authors discuss risk-stratification approaches in different patient populations with structural heart disease and systolic heart failure.

Original languageEnglish (US)
Pages (from-to)151-160
Number of pages10
JournalCardiac Electrophysiology Clinics
Issue number2
Publication statusPublished - Jun 2012



  • Implantable cardioverter-defibrillator
  • Left ventricular systolic dysfunction
  • Primary prevention
  • Risk stratification
  • Sudden cardiac arrest

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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