Abstract
Strategic implantable cardioverter-defibrillator (ICD) programming, with the use of high-rate detection zones and long detection times, can significantly reduce nonessential ICD therapy and mortality, 1 Khan P. Jahagirdar N. Laybourn M. et al. Generic ICD programming and outcomes. Pacing Clin Electrophysiol. 2021; 44: 1995-2004 Crossref PubMed Scopus (1) Google Scholar and its use is supported by consensus guidelines. 2 Wilkoff B.L. Fauchier L. Stiles M.K. et al. 2015 HRS/EHRA/APHRS/SOLAECE expert consensus statement on optimal implantable cardioverter-defibrillator programming and testing. Heart Rhythm. 2016; 13: e50-e86 Abstract Full Text Full Text PDF PubMed Scopus (150) Google Scholar Despite the published data and guideline recommendations, the implementation of strategic programming into clinical practice has been modest. 3 Varma N. Jones P. Wold N. et al. How well do results from randomized clinical trials and/or recommendations for implantable cardioverter-defibrillator programming diffuse into clinical practice? Translation assessed in a national cohort of patients with implantable cardioverter- defibrillators (ALTITUDE). J Am Heart Assoc. 2019; 8e007392 Google Scholar How best to improve the adoption of shock reduction programming is unclear. Here we describe our approach to improve ICD programming and its impact on the uptake of evidence-based programming at King's College Hospital (KCH), London.
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