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ICD programming 

ICD programming
ICD programming

Jonathan Timperley

, Paul Leeson

, Andrew RJ Mitchell

, and Timothy Betts

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date: 27 September 2020

Introduction 236

Detection zones and therapies 238

Bradycardia pacing 242

Post-shock pacing 242

Programming is often performed on an individual patient basis, tailoring therapies and detection criteria to clinical history and documented arrhythmias. There is no evidence, however, that this strategy improves outcome or reduces the morbidity associated with inappropriate shocks. Recent studies have demonstrated that empirical programming (EMPIRIC PainFREE Rx II) may be as good as tailored therapy. However, information obtained during patient follow-up will allow for fine tuning of device programming. Although many devices are implanted for VF arrests, it is important to remember that the most common tachyarrhythmia detected by ICDs is VT and VF is often preceded by VT....

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