Key result
A review of 63 documents confirms that antitachycardia pacing effectively interrupts ventricular arrhythmias and optimal ICD programming can reduce inappropriate or avoidable therapies.
Why the study?
Successful antitachycardia pacing avoids shocks associated with increased mortality and morbidity, warranting a review of optimal programming, predictive factors of efficacy, and emerging technologies.
Does optimal antitachycardia pacing programming improve efficacy and reduce inappropriate therapies in patients with ventricular arrhythmias?
Does optimal antitachycardia pacing programming improve efficacy and reduce inappropriate therapies in patients with ventricular arrhythmias?
Optimal programming of antitachycardia pacing in ICDs is essential to effectively interrupt ventricular arrhythmias and minimize inappropriate therapies.
May support optimized ATP programming to minimize inappropriate ICD therapies; leaves open need for prospective trials before practice change.
Introduction: Antitachycardia pacing (ATP) is one of the therapies provided by an implantable cardioverter defibrillator (ICD) for the treatment of ventricular arrhythmias (VA). Successful ATP leads to avoidance of shock, that is related to an increase in mortality and morbidity. Methods and Results : A total of 63 documents have been obtained by using the key term “Antitachycardia pacing” in PubMed, focusing on optimal ATP and ICD programing to reduce inappropriate or avoidable therapies, predictive factors of ATP efficacy and latest technologies and devices still in experimentation. Conclusions: Antitachycardia pacing confirms to be a good therapeutic tool to interrupt ventricular arrhythmias. An optimal ICD programming could lead to the reduction of inappropriate or avoidable ATP therapies. Furthermore, a better knowledge in predictive factors of ATP efficacy not only could better orient physicians on the device to implant, but also could allow for a better arrhythmic risk stratification.
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Avolio et al. (2023) conducted a review in Ventricular arrhythmias. Antitachycardia pacing (ATP) and optimal ICD programming was evaluated. A review of 63 documents confirms that antitachycardia pacing effectively interrupts ventricular arrhythmias and optimal ICD programming can reduce inappropriate or avoidable therapies.
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