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Abstract
Imaging to guide ICD therapy: beware what lies beneath.
Highlights
The introduction of the implantable cardioverterdefibrillator (ICD) for primary prevention of sudden cardiac death has led to an important reduction in mortality in patients with impaired left ventricular ejection fraction (LVEF) [1, 2]
The study performed by De Haan et al published in the current issue of the Netherlands Heart Journal included 152 patients who were referred for primary prevention ICD implantation [5]
De Haan et al report significantly lower values of left ventricular volumes by 2D echocardiography, which on average yielded a higher LVEF of 6.6 %
Summary
The introduction of the implantable cardioverterdefibrillator (ICD) for primary prevention of sudden cardiac death has led to an important reduction in mortality in patients with impaired left ventricular ejection fraction (LVEF) [1, 2]. Departments of Cardiology and Institute for Cardiovascular Research (IcaR-VU), VU University Medical Center, Amsterdam, the Netherlands P. Knaapen (*) Department of Cardiology, VU University Medical Center, De Boelelaan 1117, PO Box 7057, 1081 HV Amsterdam, the Netherlands e-mail: p.knaapen@vumc.nl
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