Wearable cardioverter-defibrillator in patients with a transient risk of sudden cardiac death: the WEARIT-France cohort study

被引：42

作者：

Garcia, Rodrigue ^{[1
,2
]}

Combes, Nicolas ^{[3
]}

Defaye, Pascal ^{[4
]}

Narayanan, Kumar ^{[5
,6
,7
]}

Guedon-Moreau, Laurence ^{[8
]}

Boveda, Serge ^{[3
]}

Blangy, Hugues ^{[9
]}

Bouet, Jerome ^{[10
]}

Briand, Florent ^{[11
]}

Chevalier, Philippe ^{[12
]}

Cottin, Yves ^{[13
]}

Da Costa, Antoine ^{[14
]}

Degand, Bruno ^{[1
]}

Deharo, Jean-Claude ^{[15
]}

Eschalier, Romain ^{[16
]}

Extramiana, Fabrice ^{[17
]}

Goralski, Marc ^{[18
]}

Guy-Moyat, Benoit ^{[19
]}

Guyomar, Yves ^{[20
]}

Hermida, Jean-Sylvain ^{[21
]}

Jourda, Francois ^{[22
]}

Lellouche, Nicolas ^{[23
]}

Mahfoud, Mohanad ^{[24
]}

Manenti, Vladimir ^{[25
]}

Mansourati, Jacques ^{[26
]}

Martin, Angeline ^{[27
]}

Pasquie, Jean-Luc ^{[28
]}

Ritter, Philippe ^{[29
]}

Rollin, Anne ^{[30
]}

Tibi, Thierry ^{[31
]}

Yalioua, Arab ^{[32
]}

Gras, Daniel ^{[33
]}

Sadoul, Nicolas ^{[9
]}

Piot, Olivier ^{[34
]}

Leclercq, Christophe ^{[35
]}

Marijon, Eloi ^{[5
,6
]}

机构：

[1] Univ Poitiers Hosp, Dept Cardiol, F-86021 Poitiers, France

[2] Univ Poitiers, F-86000 Poitiers, France

[3] Pasteur Clin, Dept Cardiol, F-33000 Toulouse, France

[4] Grenoble Univ Hosp, Dept Cardiol, F-38043 Grenoble, France

[5] Hop Europeen Georges Pompidou, Dept Cardiol, F-75015 Paris, France

[6] Univ Paris, INSERM, PARCC, F-75015 Paris, France

[7] Medicover Hosp, Cardiol Dept, Hyderabad, India

[8] Lille Univ Hosp, Dept Cardiol, F-59000 Lille, France

[9] Nancy Univ Hosp, Dept Cardiol, F-54500 Vandoeuvre Les Nancy, France

[10] Hosp Ctr Aix, Dept Cardiol, F-13080 Aix En Provence, France

[11] Besancon Univ Hosp, Dept Cardiol, F-25000 Besancon, France

[12] Lyon Univ Hosp, Dept Cardiol, F-69000 Lyon, France

[13] Dijon Univ Hosp, Dept Cardiol, F-28000 Dijon, France

[14] St Etienne Univ Hosp, Dept Cardiol, F-42000 St Etienne, France

[15] Univ Hosp La Timone, Dept Cardiol, F-13000 Marseille, France

[16] Clermont Ferrand Univ Hosp, Dept Cardiol, F-63000 Clermont Ferrand, France

[17] Bichat Hosp Claude Bernard, Dept Cardiol, F-75877 Paris, France

[18] Gen Hosp Orleans, Dept Cardiol, F-45000 Orleans, France

[19] Limoges Univ Hosp, Dept Cardiol, F-87000 Limoges, France

[20] Hosp Ctr St Philibert, Dept Cardiol, F-59160 Lomme Les Lille, France

[21] Amiens Univ Hosp, Dept Cardiol, Amiens, France

[22] Gen Hosp Auxerre, Dept Cardiol, F-89000 Auxerre, France

[23] Univ Hosp Henri Mondor, Dept Cardiol, F-94000 Creteil, France

[24] Hosp Ctr Sud Francilien, Dept Cardiol, F-91100 Corbeil Essonnes, France

[25] Jacques Cartier Inst, Dept Cardiol, F-91300 Massy, France

[26] Brest Univ Hosp, Dept Cardiol, F-29200 Brest, France

[27] Fontaine Clin, Dept Cardiol, F-21121 Fontaine Les Dijon, France

[28] Montpellier Univ Hosp, Dept Cardiol, F-34000 Montpellier, France

[29] Bordeaux Univ Hosp, Dept Cardiol, F-33600 Pessac, France

[30] Toulouse Univ Hosp, Dept Cardiol, F-31000 Toulouse, France

[31] Gen Hosp Cannes, Dept Cardiol, F-06150 Cannes, France

[32] Gen Hosp Angouleme, Dept Cardiol, F-16000 Angouleme, France

[33] Hop Priv Confluent, Dept Cardiol, F-44000 Nantes, France

[34] Cardiol Ctr Nord, Dept Cardiol, F-93200 St Denis, France

[35] Rennes Univ Hosp, Dept Cardiol, F-35000 Rennes, France

来源：

EUROPACE | 2021年 / 23卷 / 01期

关键词：

Education; Sudden cardiac death; Ischaemic cardiomyopathy; Ventricular arrhythmias; Implantable cardioverter-defibrillator; Wearable cardioverter-defibrillator; Remote monitoring; Patient compliance; PREDICTORS; REGISTRY; ARREST; EUROPE;

D O I：

10.1093/europace/euaa268

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Aims We aimed to provide contemporary real-world data on wearable cardioverter-defibrillator (WCD) use, not only in terms of effectiveness and safety but also compliance and acceptability. Methods and results Across 88 French centres, the WEARIT-France study enrolled retrospectively patients who used the WCD between May 2014 and December 2016, and prospectively all patients equipped for WCD therapy between January 2017 and March 2018. All patients received systematic education session through a standardized programme across France at the time of initiation of WCD therapy and were systematically enrolled in the LifeVest Network remote services. Overall, 1157 patients were included (mean age 60 +/- 12 years, 16% women; 46% prospectively): 82.1% with ischaemic cardiomyopathy, 10.3% after implantable cardioverter-defibrillator explant, and 7.6% before heart transplantation. Median WCD usage period was 62 (37-97) days. Median daily wear time of WCD was 23.4 (22. 23.8) h. In multivariate analysis, younger age was associated with tower compliance [adjusted odds ratio (OR) 0.97, 95% confidence interval (CI) 0.95-0.99, P < 0.01]. A total of 18 participants (1.6%) received at least one appropriate shock, giving an incidence of appropriate therapy of 7.2 per 100 patient-years. Patient-response button allowed the shock to be aborted in 35.7% of well-tolerated sustained ventricular arrhythmias and in 95.4% of inappropriate ventricular arrhythmia detection, finally resulting in an inappropriate therapy in eight patients (0.7%). Conclusion Our real-life findings reinforce previous studies on the efficacy and safety of the WCD in the setting of transient high-risk group in selected patients. Moreover, they emphasize the fact that when prescribed appropriately, in concert with adequate patient education and dedicated follow-up using specific remote monitoring system, compliance with WCD is high and the device well-tolerated by the patient. [GRAPHICS] .

引用

页码：73 / 81

页数：9

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