Table 3.
Device management. VT = ventricular tachycardia; VF = ventricular fibrillation; ATP = anti-tachycardia pacing; CL = cycle length.
| Recommendations – Device Management | Class | Level | Ref. |
|---|---|---|---|
| Detection time should be programmed to the longest possible value and detection cycle length programmed to the shortest possible value, with the aim to reduce unnecessary shocks. | I | A | [38], [39], [42] |
| In sustained monomorphic VTs, primary ATP delivery (preferentially burst pacing at ≥ 80% CL) should be considered and the device reprogrammed accordingly. | IIa | A | [38], [39], [42], [43], [44], [45] |
| To minimize the occurrence of VT / VF triggers (e.g. bradycardia, long QT, short coupled VPBs), pacing at an increased lower rate may be considered. | IIb | C | [4] |