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This study evaluated the efficacy of conversion test performed at 40J (defibrillation margin≥40 J), and factors potentially associated with test failure were identified. Current subcutaneous implantable cardioverter-defibrillator (S-ICD) devices deliver a maximum of 80 J. Functional defibrillation testing is recommended at S-ICD implantation, and it is usually conducted by delivering a shock energy of 65J to ensure a safety defibrillation margin≥15 J. Although high rates of successful conversion were reported at 65 J, limited data exist