Secondary Prevention of Sudden Death in Post-Infarction Patients: When is ICD Implantation Really Cost-Effective?
Implantable cardioverter defibrillator (ICD) use has grown rapidly due to a combination of factors, including improvements in device technology, evidence from randomized clinical trials and the intuitive appeal of an “electrical life insurance policy”. Unfortunately, the ICD is quite expensive. This has led to recent efforts to determine whether and when ICD implantation is cost-effective from a societal perspective, as opposed to a patient perspective. We will briefly review the clinical trial evidence for cost-effectiveness in the secondary prevention of sudden cardiac death with an ICD in a post-myocardial infarction population.
KeywordsLeft Ventricular Ejection Fraction Sudden Cardiac Death Implantable Cardioverter Defibrillator Antiarrhythmic Drug Antiarrhythmic Drug Therapy
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