Arrhythmias & electrophysiology

ACC/AHA/ASE/HFSA/HRS/SCAI/SCCT/SCMR 2025 Appropriate Use Criteria for Implantable Cardioverter-Defibrillators, Cardiac Resynchronization Therapy, and Pacing

J Am Coll CardiolPublished Appropriate use criteria document

Recommendations

As issued by the authors

  1. Appropriate (median 7 to 9)

    Scenarios with clinical trial evidence and/or clinical experience supporting device implantation

  2. May Be Appropriate (median 4 to 6)

    Scenarios with limited clinical trial evidence, or where implantation seemed reasonable for extenuating or practical reasons

  3. Rarely Appropriate (median 1 to 3)

    Scenarios with data showing harm, or no data, where medical judgment deemed device therapy ill-advised; e.g. reduced life expectancy from noncardiac conditions or severe cognitive dysfunction lowers ratings

Original publication

ACC/AHA/ASE/HFSA/HRS/SCAI/SCCT/SCMR 2025 Appropriate Use Criteria for Implantable Cardioverter-Defibrillators, Cardiac Resynchronization Therapy, and Pacing. J Am Coll Cardiol. Published 13 January 2025. doi:10.1016/j.jacc.2024.11.023

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