Management of implantable cardioverter defibrillator patients: Role of predischarge electrophysiologic testing and proper patient instruction before hospital discharge

Research output: Contribution to journalReview article

6 Citations (Scopus)

Abstract

Routine postoperative testing of implanted defibrillators is still debated. While a high-risk subgroup of patients can be identified where this testing is mandatory, those with good results at implants may be less likely to benefit from further testing. Recent data suggests routine testing is justified due to a low, but potentially life-threatening, device failure rate found during postoperative testing. Additionally, patient education is important in the predischarge period. Patients must be knowledgeable regarding potential environmental electromagnetic interference with normal function of their device. Adequate discharge instructions will help reduce patient anxiety over returning to their normal daily activities, and help them adjust psychologically to their defibrillator.

Original languageEnglish (US)
Pages (from-to)72-75
Number of pages4
JournalCurrent Opinion in Cardiology
Volume16
Issue number1
DOIs
StatePublished - Jan 30 2001

Fingerprint

Implantable Defibrillators
Defibrillators
Mandatory Testing
Equipment Failure
Electromagnetic Phenomena
Patient Education
Anxiety
Equipment and Supplies

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cite this

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abstract = "Routine postoperative testing of implanted defibrillators is still debated. While a high-risk subgroup of patients can be identified where this testing is mandatory, those with good results at implants may be less likely to benefit from further testing. Recent data suggests routine testing is justified due to a low, but potentially life-threatening, device failure rate found during postoperative testing. Additionally, patient education is important in the predischarge period. Patients must be knowledgeable regarding potential environmental electromagnetic interference with normal function of their device. Adequate discharge instructions will help reduce patient anxiety over returning to their normal daily activities, and help them adjust psychologically to their defibrillator.",
author = "Deborah Wolbrette and Gerald Naccarelli",
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N2 - Routine postoperative testing of implanted defibrillators is still debated. While a high-risk subgroup of patients can be identified where this testing is mandatory, those with good results at implants may be less likely to benefit from further testing. Recent data suggests routine testing is justified due to a low, but potentially life-threatening, device failure rate found during postoperative testing. Additionally, patient education is important in the predischarge period. Patients must be knowledgeable regarding potential environmental electromagnetic interference with normal function of their device. Adequate discharge instructions will help reduce patient anxiety over returning to their normal daily activities, and help them adjust psychologically to their defibrillator.

AB - Routine postoperative testing of implanted defibrillators is still debated. While a high-risk subgroup of patients can be identified where this testing is mandatory, those with good results at implants may be less likely to benefit from further testing. Recent data suggests routine testing is justified due to a low, but potentially life-threatening, device failure rate found during postoperative testing. Additionally, patient education is important in the predischarge period. Patients must be knowledgeable regarding potential environmental electromagnetic interference with normal function of their device. Adequate discharge instructions will help reduce patient anxiety over returning to their normal daily activities, and help them adjust psychologically to their defibrillator.

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