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January 1, 1992Archives of Internal Medicine

The Automatic Implantable Cardioverter-Defibrillator

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Why the study?

Is automatic implantable cardioverter-defibrillator implantation feasible and effective for preventing sudden death in patients with refractory sustained ventricular tachycardia/fibrillation in a community hospital setting?

Population

111 patients with refractory sustained ventricular tachycardia/fibrillation, considered inoperable or at…

Design

Cohort

Follow-up

mean 22 +/- 20 months

Authors

TCTodd J. Cohen

Discussion

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Overview

Supports AICD feasibility in experienced community hospitals; leaves open need for randomized confirmation in refractory VT/VF.

Structured PICO

Is automatic implantable cardioverter-defibrillator implantation feasible and effective for preventing sudden death in patients with refractory sustained ventricular tachycardia/fibrillation in a community hospital setting?

P
Population
111 patients with refractory sustained ventricular tachycardia/fibrillation, considered inoperable or at high risk for other concomitant surgery
I
Intervention
Automatic implantable cardioverter-defibrillator (AICD) implantation
O
Outcome
Feasibility, learning curve, and efficacy of device implantation (assessed via operative mortality, long-term survival, and sudden death incidence)hard clinical

AICD implantation is a feasible and effective therapy for refractory ventricular tachycardia/fibrillation in a community hospital setting equipped with an experienced electrophysiology team.

Cite This Study

Todd J. Cohen (1992) studied this question.

synapsesocial.com/papers/6a2175e784d1906bac5faf84https://doi.org/10.1001/archinte.1992.00400130091010
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