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Doctors, Not Patients, Often Steer ICD Choice

Fri, 06/15/2012 - 6:15am
Chris Kaiser

Patient preference regarding the use of an implantable cardioverter defibrillator (ICD) for the primary prevention of sudden cardiac death may get short shrift, according to a physician survey.

Only 37 percent of the respondents said that patient preference mattered "a great deal" regarding recommending an ICD, while 12 percent said it mattered "very little" or "not at all," reported Daniel D. Matlock, MD, MPH, from the University of Colorado in Aurora, and colleagues.

Trumping patient preference was the mortality benefit of the procedure, as 86 percent of the physicians said it mattered "a great deal," according to a research letter published online in the Archives of Internal Medicine.

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