Programming implantable cardioverter-defibrillators in

Arch Cardiovasc Dis · May 2014

Review

Programming implantable cardioverter-defibrillators in primary prevention: higher or later.

Defibrillator shocks, appropriate or not, are associated with significant morbidity, as they decrease quality of life, can be involved in depression and anxiety, and are known to be proarrhythmic. Most recent data have even shown an association between shocks and overall mortality. As opposed to other defibrillator-related complications, the rate of inappropriate and unnecessary shocks can (and should) be decreased with adequate programming. This review focuses on the different programming strategies and tips available to reduce the rate of shocks in primary prevention patients with left ventricular dysfunction implanted with a defibrillator, as well as some of the manufacturers' device specificities.

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- Nicolas Clementy, Bertrand Pierre, Edouard Simeon, Bénédicte Lallemand, Laurent Fauchier, and Dominique Babuty.
- Cardiology Department, Trousseau Hospital, François-Rabelais University, Tours, France. Electronic address: nclementy@yahoo.fr.
- Arch Cardiovasc Dis. 2014 May 1; 107 (5): 308-18.
AbstractDefibrillator shocks, appropriate or not, are associated with significant morbidity, as they decrease quality of life, can be involved in depression and anxiety, and are known to be proarrhythmic. Most recent data have even shown an association between shocks and overall mortality. As opposed to other defibrillator-related complications, the rate of inappropriate and unnecessary shocks can (and should) be decreased with adequate programming. This review focuses on the different programming strategies and tips available to reduce the rate of shocks in primary prevention patients with left ventricular dysfunction implanted with a defibrillator, as well as some of the manufacturers' device specificities. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

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Programming implantable cardioverter-defibrillators in primary prevention: higher or later.

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