Can we safely skip the shock test during heart device implant?

NCT ID NCT03495297

First seen Jun 24, 2026 · Last updated Jun 24, 2026

Summary

This study looked at whether it's safe to skip the defibrillation test when implanting a subcutaneous implantable cardioverter-defibrillator (S-ICD). The test involves purposely triggering a dangerous heart rhythm to make sure the device can stop it. About 965 people took part. The goal was to see if skipping the test leads to more failed shocks when the device is needed later.

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This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Contacts and locations

Locations

  • Academic Medical Center Amsterdam

    Amsterdam, Netherlands

  • Adventh Health System

    Orlando, Florida, 32803, United States

  • Albert Schweitzer Ziekenhuis

    Dordrecht, Netherlands

  • Asklepios Kliniken

    Hamburg, Germany

  • Barts Health NHS Trust of the Royal London Hospital

    London, EC1A 7BE, United Kingdom

  • Basildon and Thurrock Univerity Hospital NHS Foundation Trust

    Basildon, United Kingdom

  • Blackpool Victoria Hospital NHS Foundation Trust

    Blackpool, United Kingdom

  • Canisius Wilhelmina Ziekenhuis

    Nijmegen, Netherlands

  • Catharina Ziekenhuis

    Eindhoven, Netherlands

  • CorVita Science Foundation

    Chicago, Illinois, 60605, United States

  • Emory University Hospital

    Atlanta, Georgia, 30322, United States

  • Englewood Hospital and Medical Center

    Englewood, New Jersey, 07631, United States

  • Erlanger Health System

    Chattanooga, Tennessee, 37403, United States

  • Flevoziekenhuis

    Almere Stad, Netherlands

  • Heart and Chest Hospital NHS Foundation Trust

    Liverpool, United Kingdom

  • Icahn School of Medicine at Mount Sinaï

    New York, New York, 10029, United States

  • Isala Klinieken

    Zwolle, Netherlands

  • Manchester Heart Center, Manchester Royal Infirmary

    Manchester, M13 9WL, United Kingdom

  • Medisch Centrum Leeuwarden

    Leeuwarden, Netherlands

  • Mount Sinai Beth Israel

    New York, New York, 10003, United States

  • OLVG

    Amsterdam, Netherlands

  • Oxford University Hospitals NHS Foundation Trust

    Oxford, OX3 7LE, United Kingdom

  • Royal Papworth Hospital NHS Foundation Trust

    Cambridge, United Kingdom

  • Sheffield Teaching Hospitals NHS Foundation Trust, Northern General Hospital

    Sheffield, United Kingdom

  • Spaarne Gasthuis

    Haarlem, Netherlands

  • St Antonius Ziekenhuis

    Nieuwegein, Netherlands

  • The Royal Wolverhampton NHS Trust, the New Cross Hospital

    Wolverhampton, United Kingdom

  • UMCG

    Groningen, Netherlands

  • Universitätsklinikum Mannheim

    Mannheim, Germany

  • Universitätsklinikum Schleswig-Holstein

    Kiel, Germany

  • Universitätsklinikum Schleswig-Holstein, Campus Lübeck

    Lübeck, Germany

  • Universitätsklinikum Würzburg

    Würzburg, Germany

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

procedure: subcutaneous implantable cardioverter-defibrillator (S-ICD) implantation with or without defibrillation testing

What this could lead to

If skipping the defibrillation test proves safe, future S-ICD implants could be simpler, faster, and less painful for patients.

What could go wrong

This is a completed study, but skipping the test might still miss some device issues. Results may not apply to all patients or devices.

Conditions

The condition(s) this trial relates to.

cardiac rhythm disease

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.