Defibrillation testing at the time of implantation of cardioverter defibrillator in the clinical practice: a nation-wide survey
Why the study?
What is the rate of defibrillation testing during ICD implantation and its associated complications in real-world practice?
Population
7,857 patients undergoing first implantation of a cardioverter defibrillator in 2005 across 229 Italian…
Comparison
Defibrillation testing at the time of implantation vs No defibrillation testing
Design
Cross-sectional
Authors
Discussion
Loading...
Member takes
Implication
Omitting DT in 30% of ICD implants without clear rationale warrants caution; leaves open whether routine testing improves net clinical benefit.
Structured PICO
What is the rate of defibrillation testing during ICD implantation and its associated complications in real-world practice?
P
Population
7,857 patients undergoing first implantation of a cardioverter defibrillator (ICD) in 2005 across 229 Italian centers.
I
Intervention
Defibrillation testing (induction test) at the time of implantation
C
Comparator
No defibrillation testing
O
Outcome
Rate of defibrillation testing and its associated complicationssafety
In real-world practice, a substantial number of ICDs are implanted without defibrillation testing, which itself carries a small but non-negligible risk of life-threatening complications (0.4%).
Cite This Study
Brignole et al. (2007) studied this question.