Prevention

Consider implantable defibrillators ^a

Why?

• Implantable defibrillators reduce mortality in patients who had a VF or VT arrest following a myocardial infarction ^a
• However, implantable defibrillators are not clearly more effective than amiodarone and are less cost-effective. ^a

Implantable defibrillators reduce the risk of sudden death

Patient	Treatment	Comparison	Outcome	CER	RRR (95% CI)	NNT (95% CI)
previous VT/VF arrest following MI a	implantable defibrillators	conventional therapy	death at 2 years	36%	61% (-8% to 86%)	5 (2 to 150)