Advanced Optimization of CIED Settings for the Allied Professional-Advanced Optimization of CIED Settings for the Allied Professional

Video Transcription

Video Summary

The Heart Rhythm 2025 session led by Linda Schwartz commenced with essential housekeeping notes, urging attendees to download the mobile app for participation in live Q&A during sessions. First to present was Tristan Pendergrass from Harding University, discussing the larger topic of optimizing ICD detection and discrimination. Tristan emphasized the importance of programming in cardiac care, warning of the life-saving or life-ending consequences of ICD programming changes without proper orders. While addressing the complexities of ICD sensing, detection, and discrimination, he noted that programming should fit each unique patient scenario and briefly covered relevant clinical trials that inform ICD programming practices.<br /><br />Tammy Myers-Laplace followed, focusing on optimizing CRT (Cardiac Resynchronization Therapy) devices. She highlighted the importance of patient selection, lead location, and the frequent necessity of post-implant optimization due to the high percentage of non-responders to CRT. Tammy shared a case study to illustrate effective optimization techniques leveraging algorithms from specific manufacturers.<br /><br />Dean Engel concluded the presentations by focusing on rate response programming, an essential feature for patients with impaired chronotropic competence. He described different types of sensors used in devices, such as accelerometers and minute ventilation, and emphasized the significance of programming based on individual patient activity levels and device capabilities.<br /><br />The session underscored the common consensus that proper programming and optimization of devices are crucial for patient outcomes and quality of life. Participants were encouraged to leverage technology, including device algorithms and external data, to enhance programming strategies while considering patient-specific needs and device capabilities. The session wrapped up with an interactive Q&A, discussing challenges like optimizing patients living far from clinics and addressing device discomfort issues.

Keywords

Heart Rhythm 2025

ICD programming

cardiac care

CRT optimization

patient outcomes

rate response programming

device algorithms

patient-specific needs

clinical trials

interactive Q&A