37
YES YES
YES YES
ICD
(1)
PPM
(2a)
PPM
(1)
a
Some patients with indications for pacemaker implantation or secondary prevention ICD
based on recommendations from previously published guidelines may not be represented in
this flow diagram.
b
Physical examination, ECG, ambulatory ECG, and cardiac imaging (echocardiography or
CMR) at diagnosis with periodic retesting.
Colors correspond to the class of recommendation (COR) on pages 48–49.
NO
NO
NO
NO
Sustained
VT/VF
ICD
concordant with
patient goals of
care and clinical
status
Advanced
2nd or 3rd
degree AV block
and/or
sinus node
dysfunction
Progressive
AV conduction
abnormally/block
or fascicular
block
