What Has Been the Impact on Clinical Practice of Recently Published Postevent ICD Trials?
The American electrophysiology community has a 15-year history of active support of the implantable cardioverter defìbrillator (ICD) [1–5]. While there have been debates about the nature and extent of the impact of the ICD, few have doubted that the device saves lives. This is in contrast to the European and Far Eastern electro physiology communities, where the ICD implantation rate is a fraction of what it is in the United States . The recently completed postevent clinical trials have vindicated the early support of the ICD and have led to a dramatic and ongoing increase in ICD utilization in the United States [7–9]. The anticipated completion of a series of pre-event trials will further broaden the appeal of the ICD.
KeywordsCardiac Arrhythmia Suppression Trial Multicenter Automatic Defibrillator Implantation Trial Antiarrhythmic Versus Implantable Defibrillator Good Samaritan Hospital Cardiac Arrest Study
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