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Research Letter |

Association of Long vs Standard Detection Intervals for Implantable Cardioverter-Defibrillators With Hospitalizations and Costs

Alessandro Proclemer, MD1; Angel Arenal, MD2; Maurizio Lunati, MD3; José Bautista Martìnez Ferrer, MD4; Ahmad Hersi, MBBS5; Laura Manotta, MS6; Maurizio Gasparini, MD7
[+] Author Affiliations
1Azienda Ospedaliera Universitaria S. Maria della Misericordia, Udine, Italy
2Hospital General Universitario Gregorio Marañón, Madrid, Spain
3Azienda Ospedaliera Niguarda Ca' Granda, Milan, Italy
4Hospital de Txagorritxu C/José Achotegui, Vitoria, Spain
5College of Medicine, King Saud University, Riyadh, Saudi Arabia
6Medtronic Clinical Research Institute, Sesto San Giovanni, Italy
7Humanitas Research Hospital, Rozzano, Italy
JAMA. 2014;312(5):555-557. doi:10.1001/jama.2014.4783.
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The role of implantable cardioverter-defibrillators (ICDs) in reducing sudden and overall mortality is established.1 Recently, an ICD programming strategy that allows delayed detection of arrhythmias was shown to reduce unnecessary and inappropriate therapies.2,3

In this exploratory analysis of the Avoid Delivering Therapies for Non-sustained Arrhythmias in ICD Patients III (ADVANCE III) trial, we assessed the association of programming a long-detection interval on hospitalizations, length of stay (LOS) in the hospital, and costs.

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