Use of the implantable cardioverter/defibrillator is the most
significant advance in the management of patients with life- botn
threatening cardiac arrhythmias. This device represents an
important practical as well as conceptual breakthrough in
arrhythmia management. It places on firm footing use of
non-pharmacologic tools for clinicians. The text, Implan- table
Cardioverter/Defibrillator, represents contributions by the leading
clinicians in this field from both sides of the Atlantic and is a
welcome addition to the library of clinical electrophysiologists as
well as cardiac surgeons. The editors have well collated the
critical issues related to current use of device therapy in a
meaningful and practical fashion. The text amply reminds us that we
are in the early growth phases of a technology that promises to
completely change our approach to the cure of patients with actual
or potentially life-threatening ventricular dysrhythmias. It also
reminds us that Dr. Mirwoski's dream continues to live and remains
as a perpetual challenge to clinicians and engineers alike to bet-
ter perfect and utilize device therapy for our patients. I com-
mend the authors and editors for a superb and timely effort. San
Francisco, CA, USA Melvin M. Scheinman, M. D. Preface 1teatment of
patients with ventricular tachycardia and pre- vention of sudden
arrhythmic death is one of the most challenging tasks of modem
cardiology. 'len years ago anti- arrhythmic drug therapy was the
medical tool used most fre- quently in the management of patients
with life-threatening ventricular tachyarrhythmias.
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