2019 HRS/EHRA/APHRS/LAHRS focused update to 2015 expert consensus statement on optimal implantable cardioverter-defibril
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2019 HRS/EHRA/APHRS/LAHRS focused update to 2015 expert consensus statement on optimal implantable cardioverter-defibrillator programming and testing Martin K. Stiles 1 & Laurent Fauchier 2 & Carlos A. Morillo 3 & Bruce L. Wilkoff 4 & Heart Rhythm Society 1 # The Heart Rhythm Society; the European Heart Rhythm Association, a registered branch of the European Society of Cardiology; the Asia Pacific Heart Rhythm Society; and the Latin American Heart Rhythm Society 2020
Abstract The 2015 HRS/EHRA/APHRS/SOLAECE Expert Consensus Statement on Optimal Implantable Cardioverter-Defibrillator Programming and Testing provided guidance on bradycardia programming, tachycardia detection, tachycardia therapy, and defibrillation testing for implantable cardioverter-defibrillator (ICD) patient treatment. The 32 recommendations represented the consensus opinion of the writing group, graded by Class of Recommendation and Level of Evidence. In addition, Appendix B provided manufacturer-specific translations of these recommendations into clinical practice consistent with the recommendations within the parent document. In some instances, programming guided by quality evidence gained from studies performed in devices from some manufacturers was translated such that this programming was approximated in another manufacturer’s ICD programming settings. The authors found that the data, although not formally tested, were strong, consistent, and generalizable beyond the specific manufacturer and model of ICD. As expected, because these recommendations represented strategic choices to balance risks, there have been reports in which adverse outcomes were documented with ICDs programmed to Appendix B recommendations. The recommendations have Published by Elsevier Inc./ Oxford University Press/Wiley. This article is published under the Creative Commons CC-BY license. Martin K. Stiles is the Representative of the Asia Pacific Heart Rhythm Society (APHRS) Laurent Fauchier is the Representative of the European Heart Rhythm Association (EHRA) Carlos A. Morillo is the Representative of the Latin American Heart Rhythm Society (LAHRS) Bruce L. Wilkoff is the Representative of the Heart Rhythm Society (HRS) Developed in partnership with and endorsed by the European Heart Rhythm Association (EHRA), the Asia Pacific Heart Rhythm Society (APHRS), and the Latin American Heart Rhythm Society (LAHRS). For copies of this document, please contact the Elsevier Inc. Reprint Department ([email protected]). Permissions: Multiple copies, modification, alteration, enhancement, and/or distribution of this document are not permitted without the express permission of the Heart Rhythm Society. Instructions for obtaining permission are located at https://www.elsevier.com/about/our-business/policies/copyright/ permissions. This article has been copublished in HeartRhythm, Europace, and the Journal of Arrhythmia. Correspondence: Heart Rhythm Society, 1325 G Street NW, Suite 400, Washington, DC 20005. E-mail address: [email protected]. * Heart Rhythm Society clin
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