RT Journal A1 Blake K, Swerdlow CD T1 ICd implantation and evidence-based patient selection JF JAMA JO JAMA YR 2011 FD April 20 VO 305 IS 15 SP 1537 OP 1540 DO 10.1001/jama.2011.457 UL http://dx.doi.org/10.1001/jama.2011.457 AB Translation of medical research into care of individual patients is an imperfect science.3 Practice guidelines are an important starting point for clinical decision making, but they are not a substitute for clinical judgment, which can provide independent value.4 The National Cardiovascular Data Registry (NCDR) ICD Registry analyzed by the authors is not designed to determine the medical necessity of ICD implants that do not meet evidence-based guidelines.