?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Managing+Ventricular+Tachyarrhythmias+In+The+Developing+World%3A+Insights+From+Recent+ICD+Trials&rft.creator=Talwar%2C+K.K&rft.creator=Naik%2C+N&rft.subject=Indian+Pacing+and+Electrophysiology+Journal&rft.description=Since+the+introduction+of+the+implantable+cardioverter+defibrillator+(ICD)+by+Michel+Mirowski+in+the+1980's%2C+these+devices+have+become+an+important+tenet+in+management+of+ventricular+arrhythmias1.+Numerous+observational+and+randomized+trials+have+demonstrated+the+superiority+of+this+device+over+antiarrhythmic+drugs+in+treating+ventricular+arrhythmias.+The+clinical+implications+of+these+trials+are+tremendous+as+sudden+cardiac+death+(SCD)+maybe+the+presenting+symptom+in+these+arrhythmias.+It+is+estimated+that+in+the+United+States+alone+around+350%2C000+deaths+occur+each+year+due+to+SCD+alone2+.+As+resuscitation+is+seldom+successful+in+the+community%2C+methods+to+identify+and+appropriately+treat+such+patients+alone+can+prevent+these+events.+However%2C+the+public+health+impact+of+this+approach+is+tremendous%2C+as+the+ICD+is+extremely+expensive+and+is+out+of+reach+for+many+individuals.+Moreover%2C+not+all+patients+with+structural+heart+disease+and+ventricular+arrhythmias+have+a+malignant+outcome.+Thus+efforts+to+appropriately+stratify+patients+according+to+their+risk+profile+and+accordingly+advocate+ICD+implant+has+important+fiscal+implications+for+the+state+with+meager+health+resources%2C+especially+in+those+patients+in+whom+survival+benefit+with+the+ICD+is+modest.+&rft.publisher=Indian+Pacing+and+Electrophysiology+Group&rft.contributor=Singh%2C+Balbir&rft.contributor=Lokhandwala%2C+Yash&rft.contributor=Francis%2C+Johnson&rft.contributor=Gupta%2C+Anup&rft.date=2002-01&rft.type=Journal+(Paginated)&rft.type=PeerReviewed&rft.format=text%2Fhtml&rft.identifier=http%3A%2F%2Fcogprints.org%2F4327%2F1%2Ftalwar.htm&rft.identifier=++Talwar%2C+K.K+and+Naik%2C+N++(2002)+Managing+Ventricular+Tachyarrhythmias+In+The+Developing+World%3A+Insights+From+Recent+ICD+Trials.++%5BJournal+(Paginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F4327%2F