Phys Clinical Cases · cardiovascular
Sudden Cardiac Death AND ICD CRT Therapy — DCE Clinical Case
DCE long-case and short-case station for Sudden Cardiac Death AND ICD CRT Therapy.
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Target exams
Sudden Cardiac Death AND ICD CRT Therapy — Clinical Case
DCE Long Case
Patient brief
Patient: A middle-aged or older adult with multimorbidity and a presentation centred on Sudden Cardiac Death AND ICD CRT Therapy. [1]
Presenting complaint: Subacute or acute symptoms referable to Sudden Cardiac Death AND ICD CRT Therapy, with enough detail to force prioritisation. [1] [2]
Past history: Common cardiometabolic and organ comorbidities that interact with the plan. [2]
Medications: A polypharmacy list that includes at least one interaction or dosing issue. [2]
Examination: Key positives and critical negatives for dangerous differentials. [1]
Investigations: A small set of results that change management. [1] [2]
Tasks
- Present a prioritised problem list. [1]
- Defend investigations and immediate therapy. [1] [2]
- Provide safety-net and follow-up advice. [2]
Model discussion points
- Working diagnosis and acuity. [1]
- Differentials and discriminators. [2]
- Treatment sequence and monitoring. [1] [2] [3]
- Multimorbidity and communication. [2]
Short case
Focused examination or counselling station linked to Sudden Cardiac Death AND ICD CRT Therapy, with one interpretation task and one shared-decision point. [1] [2]
References
- [1]Toon LT, Monkhouse C, Ullah W, Paisey J Next-generation ICDs: Individualised Selection for Improved Cardiac Outcomes Arrhythm Electrophysiol Rev, 2026.PMID 42170355
- [2]Yokoshiki H, Watanabe M, Mitsuhashi T, Shimizu A Current Status of Implantable Cardioverter-Defibrillators (ICDs)/Cardiac Resynchronization Therapy With Defibrillators (CRT-Ds) for Primary Prevention of Sudden Cardiac Death J Arrhythm, 2026.PMID 42039769
- [3]Ivandic H, Pervan B, Velagic V, Jovic A, et al. Improving Risk Stratification in Sudden Cardiac Death Using Interpretable Machine Learning: A Clinical Perspective Healthcare (Basel), 2025.PMID 41228154
- [4]Mirzoyev U, Kadyrov B, Mirrakhimov E, Linde C, et al. Access to cardiac implantable electronic device therapy in the ESC EuroAsia region: a comparative analysis of implantation activity, infrastructure, and health financing Eur Heart J Qual Care Clin Outcomes, 2026.PMID 42247583
- [5]Zhuang J, Wen G Comparison of the benefit of primary prophylactic implantable cardioverter-defibrillator on patients with ischemic cardiomyopathy and idiopathic dilated cardiomyopathy Ir J Med Sci, 2026.PMID 42090060
- [6]Doan HN, Chang MC Comparative Effectiveness of Unstable Versus Stable Resistance Training on Lower Limb Strength, Mobility, and Fear of Falling in Older Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials Am J Phys Med Rehabil, 2026.PMID 42468010
- [7]Liu HW, Tsai TL Virtual Reality-assisted Physiotherapeutic Training for Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis Am J Phys Med Rehabil, 2026.PMID 42468005
- [8]Osborne AK, Brown RD, Sillence E Effects of Social Media Narratives on Affective and Behavioral Responses to Menopause Content: Randomized Online Experimental Study JMIR Form Res, 2026.PMID 42467962