Description
This session explores the role of short-term variability in repolarization on intracardiac electrograms as a predictor of ventricular tachycardia and fibrillation. It also examines the use of extravascular ICDs in pediatric patients, and advancements in programmable pulse widths to improve shock efficiency. Additionally, the session discussed integrating predictive scoring systems to enhance ICD performance and patient outcomes.
Learning Objectives
- Evaluate the predictive power of short-term repolarization variability for identifying ventricular arrhythmias.
- Evaluate the efficacy, safety, and clinical outcomes of extravascular ICDs in pediatric populations.
- Explore innovations in ICD technology, including programmable pulse width and the integration of scoring systems to enhance shock efficiency and improve patient outcomes.
Session Chair(s)
Kumar Narayanan, MD
Presentation
EV-ICD in Pediatric Patients: A Single Center Experience
Presenter(s): Karim Saleh, Clemens Steinwender
Is the MADIT ICD Benefit Score Accurate in the Modern Era? Insights from APPRAISE ATP
Presenter(s): Claudio D. Schuger, MD, Boyoung Joung, MD, PhD, Kenji Ando, MD, Lluis Mont, MD, PhD, Pier D. Lambiase, BCH, BM, MBChB, PhD, Nicholas Wold, Samantha Dunmire, Kenneth M. Stein, MD, James P. Daubert, MD
Improved ICD Shock Efficacy using Programmable Pulse Width
Presenter(s): Michael S. Katcher, MD, Kevin Davis, BS, Nima Badie, PhD, Luke C. McSpadden, PhD, Ulrika Maria. Birgersdotter-Green, MD, Jacqueline E. Joza, MD, MS, Robert D. Schaller, DO, Gabriel Mouchawar
Integration of the PRAETORIAN Score and Defibrillation Testing for the Assessment of Conversion Failure in Patients with S-ICD: Insights from the iSUSI Project.
Presenter(s): Marco Schiavone, Alessio Gasperetti, MD, Julia Vogler, MD, MIKAEL LAREDO, Alexander Breitenstein, Lukas Kaiser, MD, Giovanni Rovaris, Paolo Compagnucci, MD, PhD, Fabrizio Tundo, Antonio Dello Russo, MD, PhD, Mauro Biffi, MD, Juergen Kuschyk, Roland R. Tilz, MD, Luigi Di Biase, MD, PhD, Claudio Tondo, MD, PhD, DPhil, GIOVANNI FORLEO
Automatic Measurement of Short-Term Variability of Repolarization on Human Intracardiac Electrograms predicts VT/VF
Presenter(s): Alfonso Aranda Hernandez, Mathias Meine, MD, Marc A. Vos, PhD
Disclosures
Karim Saleh:
- Medtronic,Inc. (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
- Biotronik (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
- Abbott Medical (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
- Boston Scientific (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
Claudio Schuger:
- Boston Scientific (Honoraria/Speaking/Consulting Fee - Consulting)
Michael Katcher:
- Abbott (Honoraria/Speaking/Consulting Fee - Consulting)
Marco Schiavone:
- Nothing Relevant to Disclose
Alfonso Aranda Hernandez:
- Medtronic,Inc. (Salary from Employment - Employment)
To view all Heart Rhythm 2025 Faculty Disclosures, please click
here.
Education Framework
Ventricular Tachyarrhythmias
-- Implantable Cardioverter-defibrillators (ICDs)
-- 231. Skill to perform defibrillation threshold testing and noninvasive programmed stimulation.
Ventricular Tachyarrhythmias
-- Implantable Cardioverter-defibrillators (ICDs)
-- 232. Know how to decrease high defibrillation thresholds.
Ventricular Tachyarrhythmias
-- Implantable Cardioverter-defibrillators (ICDs)
-- 234. Skill to interrogate, program, and troubleshoot ICDs, including the appropriate use of anti-tachycardia pacing to minimize inappropriate, unnecessary, and recurrent shocks.