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Current Device Therapies for Sudden Cardiac Death Prevention – the ICD, Subcutaneous ICD and Wearable ICD
- Source :
- Heart, Lung and Circulation. 28:65-75
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
Abstract
- Defibrillator technology for sudden cardiac death (SCD) prevention now includes the transvenous implantable cardiac defibrillator (ICD), subcutaneous ICD (S-ICD) and wearable cardioverter defibrillator (WCD). ICD use improves survival in patients who survived previous sudden cardiac arrest (SCA) due to ventricular tachycardia (VT)/ventricular fibrillation (VF), as well as in patients who experienced haemodynamically significant VT. It is also currently indicated for primary prevention in ischaemic/non-ischaemic cardiomyopathies, certain congenital heart disease conditions and inherited channelopathies. In this review article, we hope to present an updated review on ICD use for SCD prevention, with a focus on contemporary issues affecting ICD selection. These include: the role of primary prevention ICD in patients with non-ischaemic cardiomyopathy (NICM) in light of the 2016 DANISH (Danish Study to Assess the Efficacy of ICDs in Patients with Non-Ischemic Systolic Heart Failure on Mortality) trial; the role of defibrillator component (CRT-D) in patients receiving cardiac resynchronisation therapy (CRT-P); and the emerging role of cardiac magnetic resonance imaging (cMRI) in particular, the presence of late gadolinium enhancement (LGE), as an important SCD risk predictor. The current use of S-ICD and WCD, including clinical indications, evidence for efficacy and limitations, will also be discussed.
- Subjects :
- Pulmonary and Respiratory Medicine
medicine.medical_specialty
Electric Countershock
Cardiomyopathy
030204 cardiovascular system & hematology
Ventricular tachycardia
Sudden cardiac death
Wearable Electronic Devices
03 medical and health sciences
0302 clinical medicine
Cardiac magnetic resonance imaging
Internal medicine
medicine
Humans
cardiovascular diseases
030212 general & internal medicine
medicine.diagnostic_test
business.industry
Sudden cardiac arrest
Equipment Design
medicine.disease
Defibrillators, Implantable
Death, Sudden, Cardiac
Heart failure
Ventricular fibrillation
cardiovascular system
Cardiology
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Wearable cardioverter defibrillator
Subjects
Details
- ISSN :
- 14439506
- Volume :
- 28
- Database :
- OpenAIRE
- Journal :
- Heart, Lung and Circulation
- Accession number :
- edsair.doi.dedup.....58a1920b108a572d33a3d6cf33094d51