Catheter ablation reduces the incidence of shocks from ICDs
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Implantable cardioverter-defibrillators (ICDs) are the mainstay of treatment for patients at risk of ventricular tachycardia or fibrillation. Although these devices reduce mortality, defibrillator discharges are painful, and several studies have reported an association between recurrent ICD shocks and anxiety and depression. Now, Reddy et al. have shown that prophylactic substrate-based catheter ablation can reduce the incidence of ICD shock and antitachycardia pacing in patients who have received an ICD for a ventricular tachyarrhythmic event.
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