EDITORIAL

Regional variation in ICD implantation rates: the shocking truth?

C C Lang

Correspondence to:
Correspondence to:
Dr Christopher C Lang
Department of Cardiology, Royal Infirmary of Edinburgh, Little France Crescent, Edinburgh EH16 4SA, UK; chrislang{at}katamail.com

There is considerable disparity in the implantation of ICDs across the UK, with a fourfold difference between regions with the highest and lowest implantation rates

Abbreviations: AVID, antiarrhythmics versus implantable defibrillators; CIDS, Canadian implantable defibrillator study; EP, electrophysiology; ICD, implantable cardioverter-defibrillator; MADIT, multicentre automatic defibrillator implantation trial; MUSTT, multicenter unsustained tachycardia trial; NICE, National Institute for Clinical Excellence; OOHCA, out of hospital cardiac arrest

Keywords: defibrillator; ICD; ICD implantation rate; implantable cardioverter-defibrillator; UK

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• McComb, J. M., Plummer, C. J., Cunningham, M. W., Cunningham, D. (2009). Inequity of access to implantable cardioverter defibrillator therapy in England: possible causes of geographical variation in implantation rates. Europace 11: 1308-1312 [Abstract] [Full Text]  
• Boon, N, Norell, M, Hall, J, Jennings, K, Penny, L, Wilson, C, Chambers, J, Weston, R (2006). National variations in the provision of cardiac services in the United Kingdom: second report of the British Cardiac Society Working Group, 2005. Heart 92: 873-878 [Full Text]