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Differences in patient characteristics, clinical practice and outcomes of cardiac implantable electric device therapy between Japan and the USA: a cross-sectional study using data from nationally representative administrative databases.

BMJ Open · 2023 · PMC9843182 · PMID 36639209

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a decreasing trendno p-value reported
Consistent with previous reports, 26 27 in-hospital mortality and complication rates for leadless pacemaker recipients in NRD were relatively high, but they revealed a decreasing trend overtime.

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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.