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Comment & Response |

Impact of Implantable Cardioverter-Defibrillator Therapy on a Secondary Prevention Population

Ankit Rathod, MD1; Apurva Badheka, MD2; Abhishek Deshmukh, MD3
[+] Author Affiliations
1Department of Cardiology, Cedars Sinai Medical Center, Los Angeles, California
2Department of Cardiology, University of Miami, Miami, Florida
3Department of Cardiology, University of Arkansas for Medical Sciences, Little Rock
JAMA Intern Med. 2013;173(22):2093-2094. doi:10.1001/jamainternmed.2013.10402.
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To the Editor We read with great interest the recent article by Borne et al.1 The researchers should be congratulated for having provided a detailed review on implantable cardioverter-defibrillator (ICD) therapies and their effects on health outcomes and strategies to reduce these therapies. The adverse prognostic value of ICD therapies (shocks and antitachycardia pacing) in a primary prevention population has been well proven in the Multicenter Automatic Defibrillator Implantation Trial (MADIT) and the Sudden Cardiac Death in Heart Failure Trial (SCD-HeFT). However the implications of ICD shocks in a secondary prevention population is unclear.

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December 9, 2013
Ryan T. Borne, MD; Paul D. Varosy, MD; Frederick A. Masoudi, MD, MSPH
1Division of Cardiology, University of Colorado Anschutz Medical Campus, Aurora, Colorado
1Division of Cardiology, University of Colorado Anschutz Medical Campus, Aurora, Colorado2VA Eastern Colorado Healthcare System, Denver
JAMA Intern Med. 2013;173(22):2094. doi:10.1001/jamainternmed.2013.10385.
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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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