Arrhythmias & electrophysiology

Predictive value of the PRAETORIAN score for defibrillation test success in patients with subcutaneous ICD: A subanalysis of the PRAETORIAN-DFT trial

Heart RhythmPublished Secondary analysis of the PRAETORIAN-DFT randomised trial

Corrected 23 Oct 2026: Measure wording clarified; no values changed.

Primary resultResult — go to the resultOdds ratio for failed DFT 33.77 CI 6.13–279.95

Authors' conclusion

A PRAETORIAN score of <90 serves as a reliable indicator for DFT success in patients with S-ICD, and a PRAETORIAN score of ≥90 is a strong predictor for DFT failure.

Study context

Population
Patients with de novo subcutaneous implantable cardioverter-defibrillator (S-ICD) implantation randomised to defibrillation testing (DFT)457 underwent DFT per protocol
Participants
482 patients
Comparison
PRAETORIAN score ≥90 vs <90 for predicting DFT outcome
Primary endpoint
Predictive value of the PRAETORIAN score for DFT success (conversion of induced ventricular arrhythmia in <5 seconds within 2 attempts)
Methodological detailsprespecified subanalysis, multicentre, investigator-initiated
  • Prespecified subanalysis
  • Multicentre
  • Investigator-initiated

Primary result

As reported in the abstract

Odds ratio for failed DFT

33.77

CI 6.13–279.95

P < 0.001

By group

PRAETORIAN score ≥90

25%

PPV for failed DFT

PRAETORIAN score <90

99%

NPV for successful DFT

PRAETORIAN score ≥90vs PRAETORIAN score <90
odds ratio for failed DFT 33.77 (CI 6.13–279.95); P < 0.001

Further findings

DFT result

Successful DFT
445 (97%)
Failed DFT
12 (3%)

Original publication

Predictive value of the PRAETORIAN score for defibrillation test success in patients with subcutaneous ICD: A subanalysis of the PRAETORIAN-DFT trial. Heart Rhythm. Published 8 February 2024. doi:10.1016/j.hrthm.2024.02.005

Composed by AI from the published abstract and checked against it. How Briefs are made →

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