Letters Cardioverter defibrillators

Should not be implanted in isolation after infarction

BMJ 2011; 342 doi: http://dx.doi.org/10.1136/bmj.d83 (Published 11 January 2011) Cite this as: BMJ 2011;342:d83
  1. Michael James, cardiologist1
  1. 1Taunton TA4 3RJ, UK
  1. watersmeetfarm{at}yahoo.co.uk

Disappointingly, Liew states that the optimal time to implant a cardioverter defibrillator after acute myocardial infarction remains “unresolved.”1 However, the timing of implantation has become enigmatic because of a too simplistic approach.

Sudden death remains a large risk soon after infarction, and its causes, not just its symptoms, must be treated early. Sudden cardiac death happens …

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