Prevention of sudden cardiac death

Although the annual incidence of sudden cardiac death (SCD) is dropping in the United States, therapies for the patient who has survived a SCD episode or is at high risk of developing SCD in the future are now well established. The implantable cardioverter defibrillator (ICD) has emerged from a series of well done randomized clinical trials of the 1990s as providing a survival benefit in carefully defined patient groups with low ejection fraction of any cause. Patients with either an ischemic or idiopathic dilated cardiomyopathy and an EF