February 8, 2011Pacing and Clinical Electrophysiology
Programming ICDs in the Modern Era beyond Out‐of‐the Box Settings
Why the study?
Does customizing ICD programming beyond default settings reduce inappropriate shocks in patients with ICDs?
Population
Patients with a broad spectrum of disorders associated with a high risk of sudden death receiving…
Comparison
Customizing and optimizing ICD programming vs Default or 'out the box' ICD programming settings
Design
Review
Authors
Discussion
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Member takes
Implication
May support customizing ICD programming to reduce shocks; leaves open prospective validation in contemporary cohorts.
Structured PICO
Does customizing ICD programming beyond default settings reduce inappropriate shocks in patients with ICDs?
P
Population
Patients with a broad spectrum of disorders associated with a high risk of sudden death receiving implantable cardioverter-defibrillators (ICDs) for primary or secondary prevention
I
Intervention
Customizing and optimizing ICD programming (including high cutoff rates, longer detection times, antitachycardia pacing, and discriminators)
C
Comparator
Default or 'out the box' ICD programming settings
O
Outcome
Reduction of inappropriate shockssafety
Customizing ICD programming beyond default settings is an important strategy to reduce the incidence of inappropriate shocks and improve patient quality of life.
Cite This Study
Mansour et al. (2011) studied this question.