title: Current implantable cardioverter-defibrillator programming in Europe: the results of the European Heart Rhythm Association survey.
abstract: The purpose of this European Heart Rhythm Association (EHRA) survey was to examine the current practice on the choice of implantable cardioverter-defibrillator (ICD) type, use of defibrillation testing, and ICD programming for detection and therapy of ventricular arrhythmias. In accordance with recent guidelines and the results of observational studies, the majority of EHRA research network centres reported a high utilization rate of dual-chamber ICDs in the presence of symptomatic and asymptomatic sinus node dysfunction, biventricular ICD in high-degree atrioventricular block and QRS duration <120 ms, and a limited use of defibrillation testing either in primary and secondary prevention settings. Activation of the long ventricular tachycardia (VT) detection window, slow VT zone, antitachycardia pacing before shock for slow and fast VT, and atrial tachyarrhythmia discrimination were considered useful in ICD programming for the majority of patients.
authors.affiliation: Division of Cardiology, University Hospital S. Maria della Misericordia, IRCAB Foundation Udine, Udine, Italy proclemer.alessandro@aoud.sanita.fvg.it.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Proclemer
authors.affiliation: 2nd Cardiology Department, University Hospital of Pisa, Pisa, Italy.
authors.forename: Maria
authors.initials: M
authors.lastname: Grazia Bongiorni
authors.affiliation: Medizinische Klinik, Ludwig-Maximilians-Universität, Campus Großhadern, München, Germany.
authors.forename: Heidi
authors.initials: H
authors.lastname: Etsner
authors.affiliation: Manchester Heart Centre, Manchester, UK.
authors.forename: Derick
authors.initials: D
authors.lastname: Todd
authors.affiliation: Department of Cardiology, Institution of Medical Science, Uppsala University, Uppsala, Sweden.
authors.forename: Elena
authors.initials: E
authors.lastname: Sciaraffia
authors.affiliation: Department of Cardiology, Institution of Medical Science, Uppsala University, Uppsala, Sweden.
authors.forename: Carina
authors.initials: C
authors.lastname: Blomström-Lundqvist
mesh_terms: D017147:Defibrillators, Implantable / Q000706:statistics & numerical data*; D019544:Equipment Failure Analysis / Q000706:statistics & numerical data*; D005060:Europe / Q000453:epidemiology; D019538:Health Care Surveys; D006333:Heart Failure / Q000453:epidemiology / Q000517:prevention & control*; D006801:Humans; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D013813:Therapy, Computer-Assisted / Q000706:statistics & numerical data*
keywords: Antitachycardia pacing; Defibrillation testing; EHRA survey; EP Wire; ICD programming; Implantable cardioverter-defibrillator; SVT discrimination algorithm; Ventricular tachycardia detection