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quency of sustained ventricular tachycardia or fibrillation in the population at the time.

Because of the potential for the acceleration of ventricular tachycar dia and the resulting increased sensitivity to transient ventricular tachycardia , the use of antitachycardia pacing was considered to pose more risk than benefi t. Because of the potential for antibradycardia pacing to worsen CHF, it was ini tiated only if the intrinsic rate decreased to less than 34 beats per minute, th e lowest trigger limit possible in the ICD model (Medtronic model 7223) used. No rate-responsive pacing was allowed