Table 6

Summary of previously published studies

StudyPatient number, settingImplant datesMean age at implant (years)NYHA I/IIAge ≤16 yearsMale sexPrimary preventionMean follow-up (years)Appropriate shock rates*Primary prevention appropriate shock ratesSecondary prevention appropriate shock ratesInappropriate shocks (% of patients)Implant complications (% of patients)Cardiovascular mortality
Primo et al913, 2 centresNA48±13NAYes62%15%2.221% at 4 yearsNANA23NA0
Maron et al7128, 19 centres1984–199840±1686%Yes69%66%3.17%/year5%/year11%/year2514NA§
Begley et al4132, 1 centre1987–200134±17NAYes61%64%4.825% at 5 years16% in 5-years36% in 5-years23103% deaths, 0.8% transplants
Jayatilleke et al522, 1 centre1997–2003NANANANA82%2.911%/year10%/year17%/year95NA
Marin et al1245, 3 centres2000–200543±2091%Yes62%60%2.57%/year1.6%/year11.1%/year272.24% deaths
Woo et al1061, 1 centre1996–200346±18NAYes66%82%3.34%/yearNANA3313#2% deaths, 2% transplants
Kaski et al1122, 1 centre1993–20061484%Yes59%77%1.713%/year, 20% at 5 years4.1%/year71%/year18180
Maron et al8 **506, 42 centres1986–200342±1787%Yes64%76%3.75.5%/year, 23% at 5 years3.6%/year10.6%/year27124% deaths, 2% transplants
Lin et al6181, 1 centre1988–200544±17NAYes62%86%4.94%/yearNANA23264% deaths, 2% transplants
Syska et al13104, 1 centre1996–200636±1795%NA45%75%4.65.6%/year4.0%/year7.9%/year34243% deaths, 1% transplant
The Heart Hospital334, 1 centre1992–200942±1492%No62%92%3.82.3%/year, 13% at 5 years2.0%/year4.3%/year16183% deaths, 3% transplants
  • * The cumulative risk and yearly shock rate are provided when available.

  • The studies shown have not used the same criteria for the reporting of complications, and two include psychological complications.4 11

  • Uniform criteria were not used; the definition used in this manuscript was applied to aid comparison.

  • § Two deaths are reported, but the cause is not stated.

  • Data were supplemented by personal communication with Dr Juan Gimeno.

  • ** This study includes 150 previously reported patients in Maron et al7 and Jayatilleke et al.5 Nine arrhythmias terminated by antitachycardia pacing are included in the analysis. Only ‘major’ complications are reported; the definition of these events is not reported.

  • # 8 patients had lead fracture or dislodgement in the context of inappropriate shocks, but no other complication is discussed

  • NA, not available; NYHA, New York Heart Association.