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Systolic blood pressure and risk for ventricular arrhythmia in patients with an implantable cardioverter defibrillator

The American Journal of Cardiology Dec 25, 2020

Beinart R, Goldenberg I, Younis A, et al. - Researchers investigated the link of systolic blood pressure (SBP) on risk of ventricular tachyarrhythmias (VTA) and atrial arrhythmias as well as appropriate and inappropriate ICD therapy among 1481/1500 (99%) patients enrolled in the MADIT-RIT trial. In multivariate analysis, each 10 mmHg reduction in SBP was shown to be related to corresponding 11% raised risk for VTA. Low SBP (≤ 120 mmHg) was identified to be related to a significant 58% raised risk for VTA ≥ 170 bpm; 53% elevated risk for VTA ≥ 200 bpm; and 65% increased risk for appropriate ICD therapy, vs SBP > 120 mmHg. Overall, higher rates of VTA were predicted by SBP (≤ 120 mmHg) in the MADIT-RIT trial. These results indicate that SBP may be used for VTA risk stratification among candidates for primary ICD therapy.

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