title: ICD programming.
abstract: BACKGROUND
  Appropriate ICD programming is the key to prevent inappropriate shock delivery, that is closely associated to a negative patients' outcome.
  
  
  METHODS
  Review of the literature on ICD therapy to generate ICD programmings that can be applied to the broad population of ICD and CRT-D carriers.
  
  
  RESULTS
  Arrhythmia detection should occur with a detection time ranging 9″-12″ in the VF zone, and 15″-60″ in the VT zone. Discriminator should be applied at least up to 200 bpm. ATP therapy is applied to all VTs up to 250 bpm, with a success rate of 70%. Inappropriate shocks should occur in <3.6% of patients.
  
  
  CONCLUSIONS
  Tailored ICD programming can be achieved following evidence from large ICD trials. Pre-defined settings that are saved on the programmer and that can be uploaded at device implantation help to ensure optimal programming and to avoid random errors.
authors.affiliation: Institute of Cardiology, Policlinico S. Orsola-Malpighi, University of Bologna, Italy. Electronic address: mauro.biffi@aosp.bo.it.
authors.forename: Mauro
authors.initials: M
authors.lastname: Biffi
mesh_terms: D001145:Arrhythmias, Cardiac / Q000628:therapy*; D016757:Death, Sudden, Cardiac / Q000517:prevention & control; D017147:Defibrillators, Implantable; D004867:Equipment Design; D006801:Humans
keywords: Arrhythmia detection; Arrhythmia discrimination; ICD programming; VF/VT treatment