The Social and Economic Impact of the New Implantable Cardioverter Defibrillator Technology

作者: S. Saksena

DOI: 10.1007/978-3-642-76575-9_20

关键词: Intensive care medicineClinical evidencePharmacotherapyImplantable cardioverter-defibrillatorCardiac mortalityVentricular fibrillationMedicineArrhythmic deathVentricular tachycardiaEpicardial lead

摘要: Rapid technologic advances are accelerating the widespread implementation of implantable cardioverter defibrillator (ICD) therapy for patients with life-threatening ventricular tachycardia or fibrillation. Multiprogrammable ICD pulse generator and nonthoracotomy lead systems can drive process catapulting this therapeutic modality from a last resort investigative option to first-line choice [1–3]. Clinical evidence continues mount in favor superior efficacy devices prevention sudden arrhythmic death as compared empiric directed antiarrhythmic drug [4–6]. Controversy, however, exists on overall impact such total cardiac mortality patients.

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