title: Defibrillation Threshold Testing: Who Doesn't Get It?
abstract: Defibrillation testing has been routinely performed as part of the implantable cardioverter-defibrillator (ICD) implantation procedure, and is currently supported by practice guidelines; however, more recently, this practice has been called into question. Such testing is safe, and serious complications are rare. With modern ICD systems, physicians will rarely encounter a patient in whom defibrillation will fail. This article reviews the literature regarding the utility, necessity, complications, and cost of routine operative and follow-up defibrillation testing, and, it is hoped, clarifies the issue of "Who doesn't get it?"
authors.affiliation: Cardiac Electrophysiology, Medical University of South Carolina, 25 Courtenay Drive, ART 7054, MSC 592, Charleston, SC 29425, USA.
authors.forename: Frank A
authors.initials: FA
authors.lastname: Cuoco
authors.affiliation: The Medical University of South Carolina, Charleston, SC, USA.
authors.forename: Michael R
authors.initials: MR
authors.lastname: Gold