Change in Mortality in the Past 20 Years in Heart Failure Trials

Bryg, Robert J.; Bryg, David J.; Akhondi, Andre; Yang, Tae-Won; Sobotka, Paul A.

doi:10.1016/j.cardfail.2010.06.322

Cited by 2 publications

(1 citation statement)

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“…Second, the risk of SCD and ICD shocks has been largely based on populations from the 1990s and early 2000s but there has been an almost 70% reduction of mortality in patients with coronary artery disease and heart failure in the last 20 years and a 44% reduction in SCD rates between 1995 and 2014 in patients with heart failure and reduced ejection fraction. [27,28] These dramatic changes were a result of more effective drug treatment, e.g. angiotensin converting enzyme inhibitors, early revascularisation in patients with acute coronary syndromes, implementation of cardiac resynchronisation therapy, and so on.…”

Section: Risk Estimate Of Motor Vehicle Accident Fatalities In Patienmentioning

confidence: 99%

A Review of Driving Restrictions in Patients at Risk of Syncope and Cardiac Arrhythmias Associated with Sudden Incapacity: Differing Global Approaches to Regulation and Risk

Mărgulescu

Anderson

2019

Arrhythm Electrophysiol Rev

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The ability to drive is a highly valued freedom in the developed world. Sudden incapacitation while driving can result in injury or death for the driver and passengers or bystanders. Cardiovascular conditions are a primary cause for sudden incapacitation and regulations have long existed to restrict driving for patients with cardiac conditions at high risk of sudden incapacitation. Significant variation occurs between these rules in different countries and legislatures. Quantification of the potential risk of harm associated with various categories of drivers has attempted to make these regulations more objective. The assumptions on which these calculations are based are now old and less likely to reflect the reality of modern driving. Ultimately, a more individual assessment of risk with a combined assessment of the medical condition and the patient’s driving behaviour may be appropriate. The development of driverless technologies may also have an impact on decision making in this field.

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Section: Risk Estimate Of Motor Vehicle Accident Fatalities In Patienmentioning

confidence: 99%