Patient Screening

Level Up with AST 2.0

The EMBLEM™ MRI S-ICD Automated Screening Tool (AST) takes patient screening to the next level by incorporating your feedback to increase efficiency and usability.

  • Integration with the Heart Connect™ System
  • on-Screen Instructions
  • progress Indicator During Capture of ECG
  • drop-Down List for Optional Postures
  • multiple Sternal Lead Positions Within a Single Session
  • reasons for Vector Failure
  • filtered Signal Can Now Be Included on Report
  • selectively Export Sessions

AST 2.0 Now Available through the LATITUDE™ Programming System, Model 3300

Applies the Vector Select algorithm that is used by the S-ICD to sense the cardiac signal designed to more closely represent
S-ICD device performance.1

EMBLEM MRI S-ICD System and LATITUDE Programming System, Model 3300 showing an AST 2.0 screen.



How to Do a Successful Screening

With the EMBLEM MRI S-ICD Automated Screening Tool, you can screen patients in 5 simple steps.2

Illustration of a ribcage showing the placement of the electrodes during S-ICD patient screening.
Place electrodes.
First screen of the Automated Screening Tool.
Click EMBLEM S-ICD Automated Screening Tool.
ECG screen of the Automated Screening Tool.
Verify a clean ECG.
Screen showing the various tests performed by the Automated Screening Tool.
Run the Test: Supine & Standing. Save, then print and/or export test data.
Report generated by the LATITUDE Programming System, Model 3300.
Review and determine acceptable vectors.

The Evolution of S-ICD Screening

Screening for S-ICD has continued to evolve to remove subjectivity while increasing efficiency and usability.  


Which Patients Should Be Screened for an S-ICD?

All ICD-indicated patients without a pacing need should be considered for an S-ICD.



Patient Comorbidities


TV-ICD Required3,4

TV-ICD Considered3,4

Evaluating Need for Brady Pacing5-7

Brady pacing indication at implant



No current pacing indication, but has 1 or more of the following:

  • H/O CABG surgery
  • H/O atrial fibrillation
  • Age > 80
  • PR interval > 200 ms


No pacing indication at implant and age < 80



High Risk for TV Lead Failure8

Life expectancy > 8 years



High Risk for Infection9 H/O device infection



Prosthetic heart valve


On dialysis or renal insufficiency





Other risk factors:

  • COPD
  • Corticosteroid use
  • Oral anticoagulation
  • Class II-IV heart failure
  • Chronic skin disorder
  • Malignancy


High or Low Risk for ATP10,11

Ischemic or non-ischemic heart failure or ICD-indicated patient with NO history of recurrent sustained monomorphic VT


ICD-indicated patient WITH a history of recurrent sustained monomorphic VT amenable to ATP therapy




Education & Training

Education & Training

Our easily accessible educational platform, EDUCARE, offers you a personalised suite to support your medical education requirements.