In this trial of 898 patients s/p MI at risk for sudden cardiac death (EF<40%, HR>90, or non-sustained Vtach on holter monitoring), they were randomized to ICD or usual therapy. The overall death rate was not significantly different between the 2 groups(although the ICD group had lower risk of sudden cardiac death, it was off-set by a higher risk of nonsudden cardiac death). Routine implantation of ICD’s after an MI is not beneficial in this sub-group of patients (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.