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Verfasst von:El-Battrawy, Ibrahim [VerfasserIn]   i
 Tenbrink, David [VerfasserIn]   i
 Kovacs, Boldizsar [VerfasserIn]   i
 Dreher, Tobias C. [VerfasserIn]   i
 Blockhaus, Christian [VerfasserIn]   i
 Klein, Norbert [VerfasserIn]   i
 Shin, Dong-In [VerfasserIn]   i
 Hijazi, Mido [VerfasserIn]   i
 Rosenkaimer, Stephanie L. [VerfasserIn]   i
 Beiert, Thomas [VerfasserIn]   i
 Abumayyaleh, Mohammad S. A. [VerfasserIn]   i
 Saguner, Ardan Muammer [VerfasserIn]   i
 Kowitz, Jacqueline [VerfasserIn]   i
 Erath, Julia W. [VerfasserIn]   i
 Duru, Firat [VerfasserIn]   i
 Mügge, Andreas [VerfasserIn]   i
 Aweimer, Assem [VerfasserIn]   i
 Akın, Ibrahim [VerfasserIn]   i
Titel:Age differences of patients treated with wearable cardioverter defibrillator
Titelzusatz:data from a multicentre registry
Verf.angabe:Ibrahim El-Battrawy, David Tenbrink, Boldizsar Kovacs, Tobias C. Dreher, Christian Blockhaus, Norbert Klein, Dong-In Shin, Mido Hijazi, Stephanie Rosenkaimer, Thomas Beiert, Mohammad Abumayyaleh, Ardan Muammer Saguner, Jacqueline Kowitz, Julia W. Erath, Firat Duru, Andreas Mügge, Assem Aweimer, Ibrahim Akin
E-Jahr:2023
Jahr:July 2023
Umfang:11 S.
Illustrationen:Illustrationen
Fussnoten:Online veröffentlicht: 27. Februar 2023 ; Gesehen am 22.07.2024
Titel Quelle:Enthalten in: European journal of clinical investigation
Ort Quelle:Oxford [u.a.] : Wiley-Blackwell, 1970
Jahr Quelle:2023
Band/Heft Quelle:53(2023), 7, Seite e13977$p1-11
ISSN Quelle:1365-2362
Abstract:Background Wearable cardioverter defibrillators (WCD) are used as a ‘bridging’ technology in patients, who are temporarily at high risk for sudden cardiac death (SCD). Several factors should be taken into consideration, for example patient selection, compliance and optimal drug treatment, when WCD is prescribed. We aimed to present real-world data from seven centres from Germany and Switzerland according to age differences regarding the outcome, prognosis, WCD data and compliance. Materials and Methods Between 04/2012 and 03/2021, 1105 patients were included in this registry. Outcome data according to age differences (old ≥45 years compared to young <45 years) were analysed. At young age, WCDs were more often prescribed due to congenital heart disease and myocarditis. On the other hand, ischaemic cardiomyopathy (ICM) was more present in older patients. Wear days of WCD were similar between both groups (p = .115). In addition, during the WCD use, documented arrhythmic life-threatening events were comparable [sustained ventricular tachycardia: 5.8% vs. 7.7%, ventricular fibrillation (VF) .5% vs. .6%] and consequently the rate of appropriate shocks was similar between both groups. Left ventricular ejection fraction improvement was documented over follow-up with a better improvement in younger patients as compared to older patients (77% vs. 63%, p = .002). In addition, at baseline, the rate of atrial fibrillation was significantly higher in the older age group (23% vs. 8%; p = .001). The rate of permanent cardiac implantable electronic device implantation (CiED) was lower in the younger group (25% vs. 36%, p = .05). The compliance rate defined as wearing WCD at least 20 h per day was significantly lower in young patients compared to old patients (68.9% vs. 80.9%, p < .001). During the follow-up, no significant difference regarding all-cause mortality or arrhythmic death was documented in both groups. A low compliance rate of wearing WCD is predicted by young patients and patients suffering from non-ischaemic cardiomyopathies. Conclusion Although the compliance rate in different age groups is high, the average wear hours tended to be lower in young patients compared to older patients. The clinical events were similar in younger patients compared to older patients.
DOI:doi:10.1111/eci.13977
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

kostenfrei: Volltext: https://doi.org/10.1111/eci.13977
 kostenfrei: Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/eci.13977
 DOI: https://doi.org/10.1111/eci.13977
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:age-differences
 age-variation
 arrhythmias
 Sudden cardiac death
 wearable cardioverter defibrillator
K10plus-PPN:1895995043
Verknüpfungen:→ Zeitschrift

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