Defibrillation Testing of the Implantable Cardioverter Defibrillator: Habit or Necessity?

Defibrillation Testing of the Implantable Cardioverter Defibrillator: Habit or Necessity?
Defibrillation Testing of the Implantable Cardioverter Defibrillator: Habit or Necessity?
Defibrillation Testing of the Implantable Cardioverter Defibrillator: Habit or Necessity?
Defibrillation Testing of the Implantable Cardioverter Defibrillator: Habit or Necessity?
Defibrillation Testing of the Implantable Cardioverter Defibrillator: Habit or Necessity?
Defibrillation Testing of the Implantable Cardioverter Defibrillator: Habit or Necessity?
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End page: 
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Author(s): 

Luis A. Pires, MD, FACC
Heart Rhythm Center and Cardiovascular Medicine, St. John Hospital and Medical Center, and Wayne State University School of Medicine
Detroit, MI

References: 

1. Pires LA, Johnson KM. Intraoperative testing of the implantable cardioverter-defibrillator: How much is enough? J Cardiovasc Electrophysiol 2006;17:140-145.

2. Gold MR, Breiter D, Leman R, et al. Safety of a single successful conversion of ventricular fibrillation before the implantation of cardioverter-defibrillators. Pacing Clin Electrophysiol 2003;26:483-486.

3. Higgins S, Mann D, Calkins H, et al. One conversion of ventricular fibrillation is adequate for implantable cardioverter-defibrillator implant: An analysis from the low energy safety study (LESS). Heart Rhythm 2005;2:117-122.

4. Blatt JA, Poole JE, Johnson GW, et al. No benefit from defibrillation threshold testing in the SCD-HeFT. J Am Coll Cardiol 2008;52:551-556.

5. Day JD, Doshi RN, Belott P, et al. Inductionless or limited shock testing is possible in most patients with ICDs/CRT-D: Results of the ASSURE Study. Circulation 2007;115:2382-2389.

6. Strickberger SA, Klein GJ. Is defibrillation testing required for defibrillator implantation? J Am Coll Cardiol 2004;44:88-91.

7. Curtis AB, Ellenbogen KA, Hammill SC, et al. Clinical competency statement: Training pathways for implantation of cardioverter defibrillators and cardiac resynchronization devices. Heart Rhythm 2004;1:371-375.

8. Birnie D, Tung S, Simpson C, et al. Complications associated with defibrillation threshold testing: The Canadian experience. Heart Rhythm 2008;5:387-390.

9. Rosenheck S, Sharon Z, Weiss A. Long-term follow-up of patients with relatively high effective defibrillation threshold during cardioverter defibrillator implantation with endocardial leads. Cardiology 2009;112:107-113.

10. Shukla HH, Flaker GC, Jayam V, Roberts D. High defibrillation thresholds in transvenous biphasic defibrillators: Clinical predictors and prognostic implications. Pacing Clin Electrophysiol 2003;26:44-48.

11. Bianchi S, Ricci RP, Biscione F, et al. Primary prevention implantation of cardioverter defibrillator without defibrillation threshold testing: 2-year follow-up. Pacing Clin Electrophysiol 2009;32:573-578.

12. Pires LA, Lehmann MH, Steinman RT, et al. Sudden death in implantable cardioverter-defibrillator recipients: Clinical context, arrhythmic events and device responses. J Am Coll Cardiol 1999;33:24-32.

13. Pires LA, Hull ML, Nino CL, et al. Sudden death in patients with transvenous implantable cardioverter-defibrillator systems: Terminal events, predictors and potential mechanisms. J Cardiovasc Electrophysiol 1999;10:1049-1056.


Anonymoussays: May 17.2010 at 11:57 am

Would like to see opinions re. the necessity for annual
induced ventricular fibrillation testing in the absence of any detected abnormalities, and not associated with potential lead defects.This is a standard recommendation to all patients with no contra-indications by some electrophysiologists, and unheard of by cardiologists in other parts of the country.

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