Guidelines for implantation of cardiac pacemakers and antiarrhythmia devices. A report of the American College of Cardiology/American Heart Association Task Force on Assessment of Diagnostic and Therapeutic Cardiovascular Procedures (Committee on Pacemaker Implantation).

It is becoming more apparent each day that despite a strong national commitment to excellence in health care, the resources and personnel are finite. It is therefore appropriate that the medical profession examine the impact of developing technol9gy on the practice and cost of medical care. Such. analysis, carefully conducted, could potentially have an impact on the cost of medical care without diminishing the effectiveness of that care. To this end, the American College of Cardiology and the American Heart Association in 1980 established a Task Force on Assessment of Diagnostic and Therapeutic Cardiovascular Procedures with the following charge: The Task Force of the American College of Cardiology and the American Heart Association shall define the role of specific noninvasive and invasive procedures in the diagnosis and management Qf cardiovascular disease. The Task Force shall address, when appropriate, the contribution, uniqueness, sensitivity, specificity, indications, contraindications and cost-effectiveness of such specific procedures. The Task Force shall include a Chairman and six members, three representatives from the American Heart Association, and three representatives from

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