Can a standardized ICD programming approach match physician tailored programming in preventing shocks post ICD implantation?

Abstract

Introduction: ICD shocks are a major cause of morbidity following device implantation. Shocks can be reduced by programming enhancements that prevent inappropriate supraventricular tachycardia detections and by the use of antitachycardia pacing (ATP) to painlessly terminate monomorphic ventricular tachycardias. However, physicians may not use these features. The EMPIRIC trial hypothesized that a standardized set of VT/VF detection and therapy settings would be at least as effective in preventing shocks as individually tailored programming by an electrophysiologist.