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Invited Commentary |

Cardiac Implantable Electronic Devices:  Comment on “Mortality and Cost Associated With Cardiovascular Implantable Electronic Device Infections”

Ronan Margey, MD, MRCPI
Arch Intern Med. 2011;171(20):1829-1830. doi:10.1001/archinternmed.2011.446.
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Cardiac implantable electronic devices (CIEDs) have become increasingly more important in the management of chronic heart disease since their introduction more than 50 years ago.1 In 2000, an estimated 3.4 million people were living with a permanent CIED worldwide.2

Coincident with improvements in design and increased data, there has been an exponential growth in device implantation in the United States.13 In the National Hospital Discharge Survey of CIED implantations in the United States from 1999 through 2003, there was a 49% increase in new device implantations.4 Another study of device implantation between 1997 and 2004, showed a 19% increase in pacemaker and a 60% increase in implantable cardioverter/defibrilator (ICD) implantation.5 Most of these devices are being implanted in older patients with comorbid illnesses.

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April 23, 2012
Arch Intern Med. 2012;172(8):670-672. doi:10.1001/archinternmed.2012.346.
April 23, 2012
Arch Intern Med. 2012;172(8):670-672. doi:10.1001/archinternmed.2012.839.
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