--- abstract: "Since the introduction of the implantable cardioverter defibrillator (ICD) by Michel Mirowski in the 1980's, these devices have become an important tenet in management of ventricular arrhythmias1. Numerous observational and randomized trials have demonstrated the superiority of this device over antiarrhythmic drugs in treating ventricular arrhythmias. The clinical implications of these trials are tremendous as sudden cardiac death (SCD) maybe the presenting symptom in these arrhythmias. It is estimated that in the United States alone around 350,000 deaths occur each year due to SCD alone2 . As resuscitation is seldom successful in the community, methods to identify and appropriately treat such patients alone can prevent these events. However, the public health impact of this approach is tremendous, as the ICD is extremely expensive and is out of reach for many individuals. Moreover, not all patients with structural heart disease and ventricular arrhythmias have a malignant outcome. Thus efforts to appropriately stratify patients according to their risk profile and accordingly advocate ICD implant has important fiscal implications for the state with meager health resources, especially in those patients in whom survival benefit with the ICD is modest. " altloc: - http://www.ipej.org/0101/talwar.htm chapter: ~ commentary: ~ commref: ~ confdates: ~ conference: ~ confloc: ~ contact_email: ~ creators_id: [] creators_name: - family: Talwar given: K.K honourific: '' lineage: '' - family: Naik given: N honourific: '' lineage: '' date: 2002-01 date_type: published datestamp: 2005-05-02 department: ~ dir: disk0/00/00/43/27 edit_lock_since: ~ edit_lock_until: ~ edit_lock_user: ~ editors_id: [] editors_name: - family: Singh given: Balbir honourific: '' lineage: '' - family: Lokhandwala given: Yash honourific: '' lineage: '' - family: Francis given: Johnson honourific: '' lineage: '' - family: Gupta given: Anup honourific: '' lineage: '' eprint_status: archive eprintid: 4327 fileinfo: /style/images/fileicons/text_html.png;/4327/1/talwar.htm full_text_status: public importid: ~ institution: ~ isbn: ~ ispublished: pub issn: ~ item_issues_comment: [] item_issues_count: 0 item_issues_description: [] item_issues_id: [] item_issues_reported_by: [] item_issues_resolved_by: [] item_issues_status: [] item_issues_timestamp: [] item_issues_type: [] keywords: 'Ventricular Tachyarrhythmias ' lastmod: 2011-03-11 08:56:02 latitude: ~ longitude: ~ metadata_visibility: show note: ~ number: 1 pagerange: 1-5 pubdom: TRUE publication: Indian Pacing and Electrophysiology Journal publisher: Indian Pacing and Electrophysiology Group refereed: TRUE referencetext: |- 1. 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J Am Coll Cardiol 1996, 28: 122-9. 13. Brugada P, Talajic M, Smeets J, et al: The value of the clinical history to assess prognosis of patients with ventricular tachycardia or ventricular fibrillation after myocardial infarction. Eur Heart J 1989, 10: 747-52. 14. Carusco AC, Marcus FI, Hahn EA, Hartz VL, Mason JW and the ESVEM Investigators: Predictors of arrhythmic death and cardiac arrest in the ESVEM trial. Circulation 1997, 96: 1888-92. 15. Bocker D, Block M, Isbruch F, et al: Benefits of treatment with implantable cardioverter-defibrillators in patients with stable ventricular tachycardia without cardiac arrest. Br Heart J 1995, 73: 158-63. 16. Raitt MH, Renfroe EG, Epstein AE, et al for the AVID Investigators: "Stable" ventricular tachycardia is not a benign rhythm. Insights from the Antiarrhythmics Versus Implantable Defibrillators (AVID) registry. Circulation 2001, 103: 244-52. 17. Zipes DP: Implantable cardioverter defibrillator: A Volkswagen or a Rolls Royce. How much will we pay to save a life? Circulation 2001, 103: 1372-4. 18. Kerber R, Becker L, Bourland J, et al. Automatic external defibrillators for public access defibrillation: Recommendations for specifying and reporting arrhythmia analysis, algorithm, performance, incorporating new waveforms and enhancing safety. Circulation 1997; 95: 1677-82. relation_type: [] relation_uri: [] reportno: ~ rev_number: 8 series: ~ source: ~ status_changed: 2007-09-12 16:58:26 subjects: - ipej succeeds: ~ suggestions: ~ sword_depositor: ~ sword_slug: ~ thesistype: ~ title: 'Managing Ventricular Tachyarrhythmias In The Developing World: Insights From Recent ICD Trials' type: journalp userid: 4424 volume: 2