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Correspondence
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Volume 343:1813-1814 December 14, 2000 Number 24
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Electrophysiologic Testing to Identify Patients at Risk for Sudden Death

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 by Buxton, A. E.
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To the Editor: As participants in the Multicenter Unsustained Tachycardia Trial, we are concerned that the tone of the article by Buxton et al. (June 29 issue)1 did not reflect what we believe to be the marked inadequacy of the use of a negative electrophysiologic study for risk stratification (with respect to the need for an implantable cardioverter–defibrillator) among patients who have coronary artery disease, a left ventricular ejection fraction of 40 percent or less, and asymptomatic, unsustained ventricular tachycardia.

The two-year and five-year rates of cardiac arrest or death from arrhythmia were 12 percent and 24 percent, respectively, among . . . [Full Text of this Article]

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