Tachycardia detection in ICDs by Boston Scientific : Algorithms, pearls, and pitfalls.
OBJECTIVE
The aim of this study was to summarize how implantable cardioverter defibrillators (ICDs) by Boston Scientific sense, detect, discriminate rhythms, and classify episodes.


METHODS
Modern devices include multiple programming selections, diagnostic features, therapy options, memory functions, and device-related history features. Device operation includes logical steps from sensing, detection, discrimination, therapy delivery to history recording. The program is designed to facilitate the application of the device algorithms to the individual patient's clinical needs. Features and functions described in this article represent a selective excerpt by the authors from Boston Scientific publicly available product resources.


CONCLUSIONS
Programming of ICDs may affect patient outcomes. Patient-adapted and optimized programming requires understanding of device operation and concepts.
Guidant Europe NV, Boston Scientific, Green Square, Lambroekstraat 5D, 1831, Diegem, Belgium. norbert.zanker@bsci.com.
Norbert
N
Zanker
Guidant Europe NV, Boston Scientific, Green Square, Lambroekstraat 5D, 1831, Diegem, Belgium.
Diane
D
Schuster
Guidant Europe NV, Boston Scientific, Green Square, Lambroekstraat 5D, 1831, Diegem, Belgium.
James
J
Gilkerson
Guidant Europe NV, Boston Scientific, Green Square, Lambroekstraat 5D, 1831, Diegem, Belgium.
Kenneth
K
Stein
D000465:Algorithms; D016477:Artifacts; D017147:Defibrillators, Implantable; D003936:Diagnosis, Computer-Assisted / Q000295:instrumentation / Q000379:methods; D004562:Electrocardiography / Q000295:instrumentation* / Q000379:methods; D004867:Equipment Design; D019544:Equipment Failure Analysis; D019317:Evidence-Based Medicine; D006801:Humans; D019300:Medical Errors / Q000517:prevention & control; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D017180:Tachycardia, Ventricular / Q000175:diagnosis* / Q000628:therapy*; D013813:Therapy, Computer-Assisted / Q000295:instrumentation* / Q000379:methods; D016896:Treatment Outcome
Delivery, therapy; Detection; Discrimination; Recording, episode history; Sensing