Tips and Tricks for Optimizing CIED Programming-Tips and Tricks for Optimizing CIED Programming

Video Transcription

Video Summary

The session discussed programming tips for optimizing cardiac device performance, focusing on pacing strategies and preventing unnecessary interventions. The session, moderated by Dr. Sunil Sinha, featured presentations from various experts, including Dr. Martin Stiles on optimal ICD programming. Dr. Stiles emphasized reducing unnecessary shocks and provided manufacturer-specific programming recommendations. A significant point was the tension between therapy reduction and ensuring life-threatening arrhythmias are treated appropriately.<br /><br />Dr. Prash Sanders focused on reducing false positives in implantable loop recorders (ILRs), stressing the importance of careful device selection and programming, considering each device's sensitivity and false alert rate. Sanders advocated for strategies such as optimizing electrode placement and utilizing AI to minimize clinic burdens from false alerts.<br /><br />The session also highlighted the significance of physiological pacing. Dr. Brett Atwater provided insights on programming devices for physiologic pacing, discussing AV intervals and the placement of atrial leads to promote synchronous ventricular contraction, which can prevent heart failure and atrial fibrillation.<br /><br />Lastly, Dr. Zach Winnett explored pacing in delayed AV conduction, stating that correcting prolonged AV delay with pacing can improve cardiac output, especially in heart failure patients. The session underscored the need for tailored therapy and further research into specific programming strategies.

Keywords

cardiac device optimization

pacing strategies

ICD programming

implantable loop recorders

physiological pacing

AV conduction

false positives reduction

programming recommendations

arrhythmia treatment