EPDIR-0624 - Inclusion/Exclusion Criteria-0624 - Inclusion/Exclusion Criteria

Video Transcription

Video Summary

In the June 2024 EPDI Registry case, an 81-year-old female with heart issues had a fractured lead in her implanted device. After shared decision-making, they turned off the defibrillation part and decided to add a subcutaneous ICD for secondary prevention. She later presented post-V-fib arrest and wanted the defibrillation part restored. Both the EP and the patient agreed on implanting the subcutaneous ICD in addition to the existing CRTD. The procedure was coded as a generator change. All leads associated with any previous or current ICD are documented. The case highlights the importance of proper coding in the EP Device Implant Registry.

Keywords

hypertrophic cardiomyopathy

CRT-D device implant

ventricular tachycardia

cardiac guidelines

device implantation

EPDI Registry

fractured lead

subcutaneous ICD

defibrillation

generator change