In this analysis of a National ICD registry, at least 22% of ICDs were placed in patients that did not have an indication according to guidelines (eg placed for primary prevention after an AMI, CABG, or for CHF). Those with a non-evidence based ICD placement were much more like to experience a procedural complication or death, compared to those with an evidence based ICD placement. ICDs should only be placed in patients known to benefit (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.