Prophylactic cardioverter defibrillator utilization in the real world: A conundrum

International Journal of Cardiology, 03/30/2012

Various factors such as differential coverage by health care insurances, patients' decision, physician's evaluation of co–morbidities and age, as well as under–referral to specialized centers may be involved in limiting the use of prophylactic ICDs. The shortfall in ICD implant rate in relation to that expected from current guidelines calls for further integration of healthcare systems.

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