TREATMENT
An automated external defibrillator in the home did not reduce all-cause mortality in patients at risk of cardiac arrest
| The first 150 words of the full text of this article appear below. |
G H Bardy
Dr G H Bardy, Seattle Institute for Cardiac Research, Seattle, WA, USA; gbardy@sicr.org
In stable patients at increased risk of sudden cardiac arrest, does having an automated external defibrillator (AED) in the home reduce all-cause mortality compared with training in usual emergency procedures?
Design: randomised controlled trial (Home Automated External Defibrillator Trial [HAT]).
Allocation: {concealed}.*
Blinding: blinded (outcome adjudication committee).
Follow-up period: median 37 months.
Setting: 178 clinical sites in the USA, Canada, Australia, the UK, New Zealand, the Netherlands, and Germany.
Patients: 7001 patients (median age 62 y, 83% men) who had had anterior-wall myocardial infarction, were not candidates for implantable cardioverter-defibrillator (ICD) therapy, and had a spouse or companion at home who was willing and able to perform the study interventions.
Intervention:
provision of an AED for home use (n = 3495) or no AED (n = 3506). In case of suspected sudden cardiac arrest,
University of Ottawa Heart Institute, Ottawa, Ontario, Canada
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