In this retrospective cohort of patients in the ICD registry, researchers evaluated outcomes of patients with an ICD implanted as a function of the specialty of physician that performed the procedure (71% by EP, 22% by non-EP cardiology, 2% by thoracic surgery, and 6% by other specialties). Compared to EP, adjusted in-hospital procedural complication rates were higher for non-EP cardiologists (RR 1.11, RR 1.01-1.21) and thoracic surgeons (RR 1.44, CI 1.15-1.79). Patients eligible for cardiac resynchronization therapy were also less likely to receive such a device if implanted by non-EP specialists. If your patient needs an ICD, seems best to call EP if available (abstract).
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