A real world wearable cardioverter defibrillator experience - Very high appropriate shock rate in ischemic cardiomyopathy patients at a European single-center

Journal of Electrocardiology
Thomas BeiertRené Andrié

Abstract

The wearable cardioverter defibrillator (WCD) has emerged as a valuable tool to protect patients with increased risk of sudden cardiac death (SCD). We sought to characterize WCD patients and to analyze predictors of ventricular arrhythmia (VA) occurrence and WCD shock delivery. One hundred fourteen patients with WCD use were included in the study. Indications were mainly ischemic cardiomyopathy (ICM; 31.6%), non-ICM (45.6%) and explantation of implantable cardioverter defibrillator due to device infection (11.4%). We observed sustained VA in 9.6% of the study population and 6.1% received an appropriate shock. VA occurred in 16.7% of ICM, 3.8% of non-ICM and 15.4% of patients with device infection. Our data demonstrate a very high rate of sustained VA in patients at risk for SCD during WCD use. ICM patients, including those with recent MI, bore the highest risk.

Citations

Oct 26, 2018·Herzschrittmachertherapie & Elektrophysiologie·David Duncker, Christian Veltmann
Mar 28, 2020·Journal of Clinical Medicine·Stephanie L RosenkaimerIbrahim Akin
Dec 7, 2017·Pacing and Clinical Electrophysiology : PACE·Thomas BeiertRené P Andrié

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