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Trends and determinant factors in the use of cardiac resynchronization therapy devices in Japan: Analysis of the Japan cardiac device treatment registry database.

J Arrhythm · 2016 · PMC5129119 · PMID 27920834

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a decreasing trendno p-value reported
A decreasing trend in CRT-D implantation has been reported recently, based on the database from the National Inpatient Sample in the USA [20] .

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.