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CME Released: 3/16/2012; Reviewed and Renewed: 6/16/2014
Valid for credit through: 6/16/2015, 11:59 PM EST
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Considerable controversy exists regarding the implantation of an internal cardioverter-defibrillator in patients who are considered high risk, but do not fulfill current guidelines for receiving such a device. This is clearly the case with patients diagnosed with nonischemic cardiomyopathy who have left ventricular dysfunction. During the waiting period to determine if there is improvement in ventricular function, the patient is vulnerable to ventricular ectopy and sudden cardiac death. Drs John Chin and Owen Obel discuss how the wearable cardioverter-defibrillator can get patients through this critical period.