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Mechanisms Underlying the Lack of Effect of Implantable Cardioverter-Defibrillator Therapy on Mortality in High-Risk Patients With Recent Myocardial Infarction
Author(s) -
Paul Dorian,
Stefan H. Hohnloser,
Kevin E. Thorpe,
Robin S. Roberts,
KarlHeinz Kück,
Michael Gent,
Stuart J. Connolly
Publication year - 2010
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.109.924225
Subject(s) - medicine , myocardial infarction , hazard ratio , cardiology , implantable cardioverter defibrillator , defibrillation , ejection fraction , confidence interval , sudden cardiac death , randomized controlled trial , sudden death , heart failure
although implantable cardioverter-defibrillators (ICDs) lower mortality in stable patients with low ejection fraction late after myocardial infarction, randomized trials of ICD versus control subjects implanted early after myocardial infarction do not show mortality benefit. Our objective was to investigate possible mechanisms underlying the lack of mortality benefit in the Defibrillation in Acute Myocardial Infarction Trial (DINAMIT).

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