In Canada, 3793 patients survived to discharge after a cardiac arrest; 628 (16.6%) of these were implanted with a cardioverter defibrillator before discharge. The implant rate rose steadily from 5.4% in 1994/95 to 26.7% in 2002/03. In the United States, 23 688 (30.2%) of 78 538 such survivors received an implantable cardioverter defibrillator before discharge.
Wednesday, July 04, 2007
U.S. versus Canada in treatment of survivors of cardiac arrest
Survival of cardiac arrest due to ventricular arrhythmia not due to a transient or reversible cause is a slam-dunk indication for an implantable defibrillator. However, almost twice as many eligible patients in the U.S. receive this treatment as do those in Canada according to this report from CMAJ: