European Heart Journal Advance Access published online on June 4, 2009
European Heart Journal, doi:10.1093/eurheartj/ehp217
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An implantable defibrillator and what else?
Thorax Institute, Hospital Clinic, Department of Medicine, University of Barcelona, Institut per la Recerca Biomèdica August Pi i Sunyer (IDIBAPS), Barcelona, Catalonia – Spain
* Corresponding author. Tel: +34 93 227 5551, Fax: +34 93 451 3045, Email: lmont@clinic.ub.es
This editorial refers to Recurrence of ventricular arrhythmias in ischaemic secondary prevention implantable cardioverter defibrillator recipients: long-term follow-up of the Leiden out-of-hospital cardiac arrest study (LOHCAT), by C.J.W. Borleffs et al. doi:10.1093/eurheartj/ehp234
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Once implantable cardioverter defibrillators (ICDs) were proven effective in treating ventricular tachycardias (VTs) and reducing sudden death and total mortality,1 arrhythmologists felt a kind of relief for a while, a feeling that the task has been completed. That is all an arrhythmologist can do for a VT patient at risk for sudden death. Cardiac resynchronization therapy (CRT) put everybody back in the saddle again, and now large studies have shown that CRT alone or in combination with an ICD also reduces mortality in patients with advanced heart failure and a wide QRS.2 It seemed that arrhythmologists could take a break again. However, the stabilization of the field was once again an illusion,
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