Sudden death among patients with renal failure and the use of life saving cardiac defibrillators

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The main cause of death among renal failure patients starting dialysis is from fatal heart rhythms leading to sudden death, preventable with defibrillators. This study will evaluate the effectiveness of the new less invasive defibrillators placed placed just under the skin. It would allow more patients to receive life saving therapy without the vascular complications. It will also improve selection criteria to identify patients who would benefit the most from defibrillators as well as advance our understanding of key predcitors of sudden death.