I |
ICD implantation is indicated for survivors of SCA due to VT/ventricular fibrillation (VF) if completely reversible causes have been excluded and an ICD is considered to be more beneficial than alternative treatments that may significantly reduce the risk of SCA. |
B-NR |
[5,46,47] |
IIb |
ICD implantation may be considered for patients with sustained VT that cannot be adequately controlled with medication and/or catheter ablation. |
C-EO |
|
IIb |
ICD therapy may be considered for primary prevention of SCD in patients with genetic cardiovascular diseases and risk factors for SCA or pathogenic mutations and family history of recurrent SCA. |
C-EO |
|
IIIHarm |
ICD therapy is not indicated for patients with incessant ventricular tachyarrhythmias due to risk of ICD storm. |
C-EO |
|
IIIHarm |
ICD therapy is not indicated for patients with ventricular arrhythmias that are adequately treated with medication and/or catheter ablation. |
C-LD |
[53,54] |
IIIHarm |
ICD therapy is not indicated for patients who have an expected survival <1 year, even if they meet ICD implantation criteria specified in the above recommendations. |
C-EO |
|
IIIHarm |
Endocardial leads should be avoided in patients with intracardiac shunts except in select cases, when there should be an individualized consideration of the risk/benefit ratio. In these exceptional cases anticoagulation is mandatory, but thromboembolism remains a risk. |
B-NR |
[28] |