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Sudden cardiac death (SCD) remains a major health problem, accounting for nearly 1000 deaths in the US daily. Clinical trials have proved a survival benefit with ICD implantation in patients with a LVEF <30-35%. However, it has been estimated that of the 2 million ICD's currently implanted, only 5% ever fire to correct a deadly arrhythmia. Also, many patients who would benefit from a prophylactic ICD are not considered candidates for implantation suggesting our criteria are inaccurate. Clearly, an accurate predictor of deadly cardiac arrhythmias has yet to be identified.

The Gootter registry. Guiding our outcomes to terminal electrical rhythms - A CMR study of ICD events