March 2, 2016Pacing and Clinical Electrophysiology

Reassessing Risk Factors for High Defibrillation Threshold: The EF‐SAGA Risk Score and Implications for Device Testing

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Population

1,642 consecutive patients who received an implantable cardioverter defibrillator and underwent…

Design

Cohort

Authors

MSMichael J. ShihCook County Health and Hospitals System SKSiddharth A. KakodkarRush University Medical Center YKYousef KaidSouthern Ohio Medical Center

Discussion

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Implication

May support selective DFT testing; leaves open prospective validation of the proposed risk tool.

Structured PICO

Population

1,642 consecutive patients who received an implantable cardioverter defibrillator (ICD) and underwent defibrillation threshold (DFT) testing

Intervention

Defibrillation threshold (DFT) testing and risk assessment using the EF-SAGA risk score

Outcome

High defibrillation threshold (DFT) requiring addition of a subcutaneous array

The EF-SAGA risk score identifies patients at high risk for elevated defibrillation thresholds, suggesting routine testing may be safely avoided in primary prevention patients with LVEF > 20%.

Cite This Study

Shih et al. (2016) studied this question.

synapsesocial.com/papers/6a70f1b835aa2c282ce245b2 https://doi.org/10.1111/pace.12838

Topics

Cardiac device therapy

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Reassessing Risk Factors for High Defibrillation Threshold: The EF‐SAGA Risk Score and Implications for Device Testing

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

Reassessing Risk Factors for High Defibrillation Threshold: The EF‐SAGA Risk Score and Implications for Device Testing

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Topics

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