Defibrillation testing of the implantable cardioverter defibrillator: when, how, and by whom?

Pires, Luis A. (2007) Defibrillation testing of the implantable cardioverter defibrillator: when, how, and by whom? Indian Pacing and Electrophysiology Journal, 7 (3). pp. 166-175. ISSN 0972-6292

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Abstract

The implantable cardioverter-defibrillator (ICD) has become an integral part of treatment for a variety of patients with symptomatic, or at risk for, ventricular tachyarrhythmias. The ICD's effectiveness is attributed to its ability to promptly detect and terminate ventricular tachycardia (VT) and fibrillation (VF). The clinical trials that established the positive role of ICD therapy were based on patients who underwent some form of defibrillation testing at the time of implantation. Therefore, since its advent, intraoperative defibrillation testing of the ICD to assure reliable detection and termination of VT/VF has been a standard practice. But because of advances in defibrillator and lead technology, which now facilitates successful device implantation (i.e., low defibrillation energy requirement to allow for an adequate programmed safety margin) in the majority of patients, the necessity of defibrillation testing has been called into attention. Despite substantial progress, it is not altogether clear whether a wholesale abandonment of intraoperative ICD testing is appropriate at this point. We review pertinent data regarding pros and cons of ICD testing and offer a suggestion as to when, how, and who should test ICDs.

EPrint Type:Article
Uncontrolled Keywords:Defibrillation, ICD, Testing, Ventricular Fibrillation, Ventricular Tachyarrhythmia, Tachycardia
Subjects:-Journal Repositories > Indian Pacing and Electrophysiology Journal
Cardiovascular Diseases > Heart Diseases > Arrhythmia > Tachycardia
Cardiovascular Diseases > Heart Diseases > Arrhythmia > Atrial Fibrillation
Equipment and Supplies > Electrodes > Defibrillators > Defibrillators, Implantable
Pathological Conditions, Signs and Symptoms > Pathologic Processes > Arrhythmia
Equipment and Supplies > Electrodes > Defibrillators
ID Code:2705
Deposited By:Indian Pacing and Electrophysiology Journal
Deposited On:10 March 2008

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