AUC for ICD and CRT: Russo A.M., Stainback R.F., Bailey S.R., et al. ACCF/HRS/AHA/ASE/ HFSA/SCAI/SCCT/SCMR 2013 appropriate use criteria for implantable cardioverter-defibrillators and cardiac resynchronization therapy. J Am Coll Cardiol 2013;61:1318–68.
2008 Device-Based Therapy Guideline: Epstein AE, DiMarco JP, Ellenbogen KA, et al. ACC/AHA/HRS 2008 guidelines for device based therapy of cardiac rhythm abnormalities: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the ACC/AHA/NASPE 2002 Guideline Update for Implantation of Cardiac Pacemakers and Antiarrhythmia Devices). J Am Coll Cardiol 2008;51:e1– 62.
Expert Consensus for ICD Patients outside of the Guideline: Kusumoto F.M., calkins H., Boehmer J. et al .HRS/ACC/AHA Expert Consensus Statement on the Use of Implantable Cardioverter-Defibrillator Therapy in Patients Who Are Not Included or Not Well Represented in Clinical Trials. J Am Coll Cardiol. 2014;64:1143-77.
CMS ICD National Coverage Decision: Centers for Medicare and Medicaid Services. Internet-Only Manual (IOMs).Medicare National Coverage Determinations Manual, (Part 1). Accessed 4/25/16
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This Application was produced after careful consideration of the scientific and medical knowledge and the evidence available at the time of publication. The results and recommendations provided by this application are not intended to, and should not, replace clinical judgment of the care provider. Further, the material is not intended to present the only, or necessarily the best, methods of procedures for the medical situation, but rather is intended to represent an approach, view, statement, or opinion. The content in this product is presented as an educational service intended for licensed healthcare professionals. Therapeutic options should be determined after discussion between the patient and their care provider.
The CMS ICD Coverage Decision included in this Application is for informational purposes only. User must contact CMS for appropriate qualifications. ACCF does not guarantee that a user might or might not expect coverage based on the responses selected in the Application.
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The ICD/CRT Appropriate Use Criteria App provides decision and documentation support for clinicians assessing the appropriateness of device implantation for their patients.
This app can only provide appropriateness advice for those patient scenarios explicitly covered in ACC/HRS et al’s 2013 Appropriate Use Criteria for ICD and CRT document. Please see the full document for more information on how these scenarios were derived and rated. Regarding those scenarios for which the AUC document and this app do not currently provide an appropriateness rating, sound clinical judgement should be used. The information and recommendations in this App are meant to support clinical decision making. They are not meant to represent the only or best course of care, or replace clinical judgment. Therapeutic options should be determined after discussion between the patient and their care provider. Additionally, the CMS ICD Coverage Determination advice included in this Application is for informational purposes only. User must contact CMS for appropriate qualifications.
This app was developed as part of a continuing initiative to enable clinicians to access and implement ACC clinical policy at the point of care for better patient care and outcomes.
The content for this App is derived from the 2013 ACCF/HRS/AHA/ASE/HFSA/SCAI/SCCT/SCMR 2013 Appropriate Use Criteria for Implantable Cardioverter Defibrillators and Cardiac Resynchronization Therapy document, and the 2005 Centers for Medicare and Medicaid Services National Coverage Determination for Implantable Automatic Defibrillators, links to the full content of which can be found in the Resources section of this app. App content and design was further refined and vetted by ACC member clinicians, and through user testing with clinicians practicing in relevant specialties.
Please see the Resources section of this App for links to additional references.
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