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Sudden cardiac death while waiting: do we need the wearable cardioverter-defibrillator?
- Source :
- Clinical Research in Cardiology, Clinical Research in Cardiology, Springer Verlag, 2022, ⟨10.1007/s00392-022-02003-4⟩, Clinical Research in Cardiology, 2022, 111 (11), pp.1189-1197. ⟨10.1007/s00392-022-02003-4⟩
- Publication Year :
- 2022
- Publisher :
- Springer Science and Business Media LLC, 2022.
-
Abstract
- Sudden cardiac death (SCD) is the most frequent cause of cardiovascular death in industrialized nations. Patients with cardiomyopathy are at increased risk for SCD and may benefit from an implantable cardioverter-defibrillator (ICD). The risk of SCD is highest in the first months after myocardial infarction or first diagnosis of severe non-ischemic cardiomyopathy. On the other hand, left ventricular function may improve in a subset of patients to such an extent that an ICD might no longer be needed. To offer protection from a transient risk of SCD, the wearable cardioverter-defibrillator (WCD) is available. Results of the first randomized clinical trial investigating the role of the WCD after myocardial infarction were recently published. This review is intended to provide insight into data from the VEST trial, and to put these into perspective with studies and clinical experience. As a non-invasive, temporary therapy, the WCD may offer advantages over early ICD implantation. However, recent data demonstrate that patient compliance and education play a crucial role in this new concept of preventing SCD.
- Subjects :
- Electric Countershock
610 Medicine & health
Ventricular tachycardia
General Medicine
2705 Cardiology and Cardiovascular Medicine
Implantable cardioverter-defibrillator
Defibrillators, Implantable
Wearable Electronic Devices
Sudden cardiac death
Myocardial infarction
Death, Sudden, Cardiac
10209 Clinic for Cardiology
Humans
[SDV.IB]Life Sciences [q-bio]/Bioengineering
cardiovascular diseases
Wearable cardioverter-defibrillator
Cardiomyopathies
Cardiology and Cardiovascular Medicine
Defibrillators
Randomized Controlled Trials as Topic
Subjects
Details
- ISSN :
- 18610692 and 18610684
- Volume :
- 111
- Database :
- OpenAIRE
- Journal :
- Clinical Research in Cardiology
- Accession number :
- edsair.doi.dedup.....9e4f3a27c415b0d5de771b0d87ec6c24