HOME >> MEDICINE >> NEWS
Implanted defibrillators not covered for half of patients who could benefit, study finds

NEW ORLEANS -- In a vivid illustration of the tradeoffs that society increasingly faces in this age of costly new medical technology, new research examines the potential impact of Medicare's decision to cover lifesaving implanted devices only for certain heart patients, and not for others.

The analysis shows that more than half of the patients who would be good candidates to receive implanted cardioverter-defibrillators (ICDs) according to criteria from the MADIT II clinical trial would not qualify to be reimbursed for them under Medicare's current guidelines.

And some of them will die from sudden cardiac death that could probably have been prevented by an ICD, a pacemaker-like implanted device that monitors heart rhythm and shocks the heart back into a normal pace when an arrhythmia develops.

Today at the Annual Scientific Session of the American College of Cardiology, University of Michigan Cardiovascular Center researcher Richard Otten, M.D., will present the results of the study in an oral presentation and a press conference.

Otten and his colleagues analyzed data on patients who were treated at U-M for acute coronary syndrome in the three years before ICDs received FDA approval for low ejection fraction heart failure patients with a history of myocardial infarction, also called heart attack. That approval was based largely on the results of MADIT-II, a national study published in 2002 in the New England Journal of Medicine.

In June 2003, the Centers for Medicare and Medicaid Services decided to cover ICDs only for Medicare patients who had heart failure, myocardial infarction and a QRS interval greater than 120 milliseconds. The QRS interval is a parameter on electrocardiograms that represents the time it takes for the heart's ventricles to depolarize.

That cutoff was based on a sub-analysis of MADIT-II data, though MADIT-II was not designed to determine how the QRS interval affected patients' likelihood of su
'"/>

Contact: Kara Gavin
kegavin@umich.edu
734-764-2220
University of Michigan Health System
9-Mar-2004


Page: 1 2 3

Related medicine news :

1. Implanted devices detect high-risk heart failure patients
2. Implanted defibrillators cut heart patients death risk, some more than others
3. Implanted stimulator for Parkinsons disease impairs cognitive function
4. Implanted defibrillators and anti-theft systems appear safe under normal circumstances
5. Implantable heart defibrillators
6. More doubts over value of defibrillators
7. One use every seven years makes automated external defibrillators a good buy
8. Benefit of public defibrillators is marginal
9. Implantable defibrillators cost-effective for preventing sudden death
10. Health and fitness facilities need defibrillators
11. Recovered king of beasts returns to his home, thanks to unique operation

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:2/13/2020)... (PRWEB) , ... February 13, 2020 , ... ... seven locations in Northern Virginia: Arlington, Dulles-Aldie, Fair Oaks, Fairfax, Fredericksburg, Leesburg, and ... that eight D.C.- and Virginia-based fertility specialists have been named as Top Docs ...
(Date:2/11/2020)... ... February 11, 2020 , ... Soterius, Inc., a ... its move to a new, significantly larger business premises in Lawrenceville, NJ. The ... in the development of digital technology platforms. , “As our customer base and ...
(Date:2/10/2020)... ... February 10, 2020 , ... A January 26 article ... in certain situations. The answer is that – not unlike the skin’s response to ... and sensitivity serve as an alert to potential damage being done and warn the ...
(Date:2/10/2020)... ... 10, 2020 , ... Terry Savage , a Westat ... of the Society for Health Communication for 2020. Ms. Savage leads ... research-driven Federal social marketing campaigns and health education programs that increase knowledge, inform ...
(Date:2/10/2020)... ... February 10, 2020 , ... Rimidi , a cloud-based ... announced its founder and chief health innovator, Lucienne Ide , MD, PhD, ... . Established in 2016, the award recognizes influential women who harness the power ...
Breaking Medicine News(10 mins):
(Date:2/11/2020)... , ... February 11, 2020 , ... ... Vitamin D powdered calcium supplement, proudly announce the addition of five new products ... a healthy body. , Like FitFormula's Classic Unflavored Calcium + Vitamin D, their ...
(Date:2/10/2020)... (PRWEB) , ... February 10, 2020 , ... ... CA, is now offering EMSculpt treatments to patients. , EMSculpt is an ... approved to treat the abdomen, buttocks, thighs, calves, biceps, and triceps. The EMSculpt ...
(Date:2/10/2020)... Ky. (PRWEB) , ... February 10, 2020 , ... ... partnership with Healthstat , a leading provider of onsite health clinics. Focused ... SaaS-based population health management software, Healthward ® at its onsite employee health ...
Breaking Medicine Technology:
Cached News: