Need an ICD? Better to ask EP to do it

By  |  April 27, 2009 | 

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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About the Author: Danielle Scheurer

Danielle Scheurer
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.


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