What is the role of adjunctive care in implantable cardioverter-defibrillator (ICD) therapy?

Updated: Oct 11, 2019
  • Author: Daniel M Beyerbach, MD, PhD; Chief Editor: Jeffrey N Rottman, MD  more...
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Although implantable cardioverter-defibrillators (ICDs) are extremely effective in terminating life-threatening arrhythmias, many patients require adjunctive therapy to reduce the frequency of arrhythmic events that require therapy. This generally consists of pharmacologic therapy, and, particularly in cases of failure of drug therapy, radiofrequency catheter ablation.

Inappropriate shocks may be delivered for atrial fibrillation, sinus tachycardia, and other types of supraventricular tachycardia, prompting ICD reprogramming or adjunctive therapy.

See The Heart Rhythm Society's Expert Consensus Statement on the Management of Cardiovascular Implantable Electronic Devices (CIEDs) in Patients Nearing End of Life or Requesting Withdrawal of Therapy. [46]

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