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January 9, 2026HeartsOpen Access

ICDs do not show consistent mortality improvement in LVAD patients, highlighting the need for individualized CIED therapy and caution against routine new device implantation.

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Key result

ICDs do not show consistent mortality improvement in LVAD patients, highlighting the need for individualized CIED therapy and caution against routine new device implantation.

Authors

GSGiuseppe SgaritoFCFrancesco CampoDGDavide Genovese

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Overview

Examines the impact of cardiac devices on outcomes in patients with LVADs, suggesting a need for individualized treatment approaches.

Key Points

  • The aim is to understand the role and effectiveness of cardiac implantable electronic devices in patients supported by left ventricular assist devices.
  • Review of existing studies and guidelines on CIEDs in LVAD patients.
  • Analysis of outcomes related to ICDs and CRT in the context of LVAD support.
  • Discussion of clinical complications and patient-centered considerations.
  • ICDs reduce the risk of sudden cardiac death but provide uncertain benefits in LVAD patients.
  • Recent evidence shows mixed results regarding the impact of CIEDs on overall mortality.
  • Guidelines recommend maintaining existing CIEDs but do not support routine new device implantation after LVAD.

Cite This Study

Sgarito et al. (2026) studied this question. ICDs do not show consistent mortality improvement in LVAD patients, highlighting the need for individualized CIED therapy and caution against routine new device implantation.

synapsesocial.com/papers/69612fd030ef6c21f6853c63https://doi.org/10.3390/hearts7010004
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cardiac implantable electronic devices in heart failure: needs, challenges, and real-world implementation2026
  2. 2Role of implantable loop recorders in optimizing care for patients during and after left ventricular assist device support: a single centre experience2025
  3. 3Incessant Ventricular Fibrillation in a Patient with a Left Ventricular Assist Device and an Implantable Cardioverter-Defibrillator: A Case Report2026
  4. 4Impact of deactivated CRT on ventricular arrhythmia occurrence and survival in LVAD patients2026
  5. 5Management of Ventricular Arrhythmias in Patients with Left Ventricular Assist Devices: Pathophysiology, Risk Stratification, and Ablation Strategies2025 · 3 citations