Use of the Automatic Implantable Cardioverter-Defibrillator

W. Clark Hargrove, John M. Miller, Mark E. Josephson, Edward V. Platia, Lawrence S.c. Griffith, Levi Watkins, Morton M. Mower, Thomas Guarnieri, Philip R. Reid

Research output: Contribution to journalLetter

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Abstract

To the Editor: The article by Platia et al. (Jan. 23 issue)1 on the management of malignant ventricular arrhythmias by combined endocardial resection and implantation of the automatic internal cardioverter-defibrillator is timely and provocative. We think, however, that widespread routine use of the device in this setting would result in a gross waste of medical resources with little additional clinical benefit. We have reported on a series of 100 patients treated with map-guided subendocardial resection.2 The postoperative sudden-death rate was 4 percent, and an additional 4 percent of patients had occasional episodes of well-tolerated spontaneous ventricular tachycardia despite medications —…

Original languageEnglish (US)
Pages (from-to)63-64
Number of pages2
JournalNew England Journal of Medicine
Volume315
Issue number1
DOIs
StatePublished - Jul 3 1986
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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    Hargrove, W. C., Miller, J. M., Josephson, M. E., Platia, E. V., Griffith, L. S. C., Watkins, L., Mower, M. M., Guarnieri, T., & Reid, P. R. (1986). Use of the Automatic Implantable Cardioverter-Defibrillator. New England Journal of Medicine, 315(1), 63-64. https://doi.org/10.1056/NEJM198607033150113