Skip to content

Heart Failure Health Center

Font Size

Study Questions Heart Device for Women

Implantable Cardioverter Defibrillators (ICDs) May Not Curb Death in Women With Heart Failure, Research Review Shows
By
WebMD Health News

Sept. 14, 2009 -- Implantable cardioverter defibrillators (ICDs) may not reduce deaths in women with heart failure, according to a new research review.

The review, published in the Archives of Internal Medicine, is based on data from five studies that together included 3,810 men and 934 women with heart failure. Some of the patients got ICDs surgically implanted; others got medical care that didn't include getting an ICD.

Among men, ICDs were lifesavers. Men who got ICDs were 22% less likely to die than men who didn't get ICDs.

But it was a different story for women. There was no difference in the odds of dying from any cause between women who got an ICD and those who didn't. The likelihood of death was no better -- or worse -- with or without an ICD for women.

The reasons for that aren't clear, note the researchers, who included Hamid Ghanbari, MD, of the cardiology department at the Providence Hospital Heart Institute and Medical Center in Southfield, Mich.

Ghanbari's team speculates that ICDs may be better suited for men because of some underlying differences between men and women. The researchers also point out that ICDs have mainly been studied in men, so more research is needed to identify women would benefit the most from ICDs.

"Ghanbari et al rightly conclude that further studies are needed," Rita Redberg, MD, writes in an editorial published with the review.

Redberg, a cardiologist at the University of California, San Francisco and an editor of the Archives of Internal Medicine, sums up the review's findings this way:

"ICDs are being implanted in hundreds of thousands of women without substantial evidence of benefit, apparently based on the assumption that, to paraphrase the old saying, 'What's good for the gander is good for the goose.'"

Today on WebMD

Compressed heart
Article
Salt Shockers
Slideshow
 
Inside A Heart Attack
Slideshow
lowering blood pressure
SLIDESHOW
 

Mechanical Heart
Article
Omega 3 Overview Slideshow
Slideshow
 
Atrial Fibrillation Guide
Slideshow
Simple Steps to Lower Cholesterol
Slideshow
 

Compressed heart
Article
FAQ Heart Failure
Article
 
Cholesterol Confusion
Health Check
Resolved To Quit Smoking
Slideshow
 

WebMD Special Sections