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l decline in delivered appropriate and inappropriate shocks and ICD therapies in the last decade. A large proportion of patients still experienced ICD therapy but with significant differences by cardiac diagnosis. Chest radiography (CXR) often is performed in the acute setting to help understand the extent of respiratory disease in patients with coronavirus disease 2019 (COVID-19), but a clearly defined role for negative chest radiograph results in assessing patients has not been described. Is portable CXR an effective exclusionary test