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December 15, 2000European Heart Journal

Meta-analysis of the implantable cardioverter defibrillator secondary prevention trials

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Why the study?

Does an implantable cardioverter defibrillator (ICD) reduce death compared to amiodarone in patients requiring secondary prevention?

Population

Patients requiring secondary prevention of arrhythmias/sudden cardiac death

Comparison

Implantable cardioverter defibrillator (ICD) vs Amiodarone

Design

Meta-analysis

Authors

SCStuart J. ConnollyElectrophysiology

Discussion

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Implication

ICDs preferred to amiodarone for secondary prevention; reinforces RCT evidence of mortality benefit.

Structured PICO

Does an implantable cardioverter defibrillator (ICD) reduce death compared to amiodarone in patients requiring secondary prevention?

P
Population
Patients requiring secondary prevention of arrhythmias/sudden cardiac death
I
Intervention
Implantable cardioverter defibrillator (ICD)
C
Comparator
Amiodarone
O
Outcome
Death (all-cause)hard clinical

In a meta-analysis of three secondary prevention trials, ICDs significantly reduced the relative risk of all-cause death by 28% and arrhythmic death by 50% compared to amiodarone.

Cite This Study

Stuart J. Connolly (2000) studied this question.

synapsesocial.com/papers/69c47d20dd452caaf49b475bhttps://doi.org/10.1053/euhj.2000.2476

Topics

Ventricular arrhythmiasCardiac device therapy
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A Comparison of Antiarrhythmic-Drug Therapy with Implantable Defibrillators in Patients Resuscitated from Near-Fatal Ventricular Arrhythmias1997 · 3,238 citations
  2. 2Clinical classification of cardiac deaths.1982 · 640 citations
  3. 3Identification of Patients Most Likely to Benefit From Implantable Cardioverter-Defibrillator Therapy2000 · 215 citations
  4. 4Improved Survival with an Implanted Defibrillator in Patients with Coronary Disease at High Risk for Ventricular Arrhythmia1996 · 4,188 citations