Mention some indications for implantable cardiac defibrillators. • Cardiac arrest resulting from ventricular tachyarrhythmia not due to a reversible or transient cause (remember: patients who have cardiac arrest unrelated to acute myocardial infarction have approximately a 35% chance of recurrent ventricular arrhythmias within the first year). • Spontaneous sustained ventricular tachycardia. • Syncope of undetermined origin with inducible sustained ventricular tachycardia on electrophysiological study and when drug therapy is not effective or tolerated. • Non-sustained ventricular tachycardia with coronary artery disease and inducible ventricular tachycardia on electrophysiological study that is not suppressible by a class I antiarrhythmic drug.
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