Caution is warranted when using automated algorithms such as atrial threshold testing in ICDs, as they may induce life-threatening ventricular fibrillation.
May warrant caution with automated atrial threshold testing in ICDs; case report leaves open generalizability and need for prospective safety data.
Implantable cardioverter defibrillators (ICDs) are nowadays routinely used as a prophylaxis for patients that have an increased risk for malignant ventricular arrhythmias and for secondary prevention in patients that have survived sudden cardiac death (SCD).[1] Algorithms are introduced in almost every new generation of ICDs. This case describes why one should be careful using these algorithms. This article is protected by copyright. All rights reserved
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Schellevis et al. (2015) studied this question.
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