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Correspondence
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Volume 347:365-367 August 1, 2002 Number 5
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Implantable Cardiac Defibrillators

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 by Bigger, J. T.
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 by Moss, A. J.
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To the Editor: Moss et al. (March 21 issue)1 describe a randomized, controlled clinical trial designed to test the expansion of the indications for implanting a cardiac defibrillator. The maker of the defibrillator paid for the trial, which was conducted by experts in the procedure that uses the defibrillator. The results demonstrate an unquestionable 31 percent decrease in mortality among those who underwent the prophylactic procedure. The accompanying editorial by Bigger2 cites the need for additional data and longer follow-up and implies that expanding the indications for the procedure may be premature. Nevertheless, nationally prominent cardiologists perceive the results of . . . [Full Text of this Article]




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