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Cardiac electrophysiology: A cost‐effective approach

1996; Wiley; Volume: 19; Issue: 7 Linguagem: Inglês

10.1002/clc.4960190710

1932-8737

John Dimarco,

Cardiac electrophysiology and arrhythmias

Clinical cardiac electrophysiology is a relatively new discipline, heavily dependent upon new technology that is often expensive. In cardiac pacing, no effective alternative to permanent pacing usually exists for patients with Class I indications, so cost-reduction strategies involve appropriate selection and utilization of hardware and facilities. Cost-effective utilization of radiofrequency ablation and implantable cardioverter-defibrillators requires that these techniques be compared with alternative therapies, usually antiarrhythmic drugs. Both ablation and defibrillator implantation can be shown to be cost effective in selected populations, but a cost-conscious approach to procedures and patient selection can make them cost effective in a broad range of patients.