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Verfasst von:El-Battrawy, Ibrahim [VerfasserIn]   i
 Koepsel, Katharina [VerfasserIn]   i
 Tenbrink, David [VerfasserIn]   i
 Kovacs, Boldizsar [VerfasserIn]   i
 Dreher, Tobias C. [VerfasserIn]   i
 Blockhaus, Christian [VerfasserIn]   i
 Gotzmann, Michael [VerfasserIn]   i
 Klein, Norbert [VerfasserIn]   i
 Kuntz, Thomas [VerfasserIn]   i
 Shin, Dong‐In [VerfasserIn]   i
 Lapp, Hendrik [VerfasserIn]   i
 Rosenkaimer, Stephanie [VerfasserIn]   i
 Abumayyaleh, Mohammad S. A. [VerfasserIn]   i
 Hamdani, Nazha [VerfasserIn]   i
 Saguner, Ardan Muammer [VerfasserIn]   i
 Kowitz, Jacqueline [VerfasserIn]   i
 Erath, Julia W. [VerfasserIn]   i
 Duru, Firat [VerfasserIn]   i
 Mügge, Andreas [VerfasserIn]   i
 Akın, Ibrahim [VerfasserIn]   i
 Aweimer, Assem [VerfasserIn]   i
 Beiert, Thomas [VerfasserIn]   i
Titel:Use of the wearable cardioverter‐defibrillator among patients with myocarditis and reduced ejection fraction or ventricular tachyarrhythmia
Titelzusatz:data from a multicenter registry
Verf.angabe:Ibrahim El‐Battrawy, MD; Katharina Koepsel; David Tenbrink; Boldizsar Kovacs, MD, MSc; Tobias C. Dreher; Christian Blockhaus, MD; Michael Gotzmann, MD; Norbert Klein, MD; Thomas Kuntz, MD; Dong‐In Shin, MD; Hendrik Lapp, MD; Stephanie Rosenkaimer, MD; Mohammad Abumayyaleh, MD; Nazha Hamdani, PhD; Ardan Muammer Saguner, MD; Jacqueline Kowitz; Julia W. Erath, MD; Firat Duru, MD; Andreas Mügge, MD, PhD; Ibrahim Akin, MD, PhD; Assem Aweimer, MD; Thomas Beiert, MD
E-Jahr:2023
Jahr:19 September 2023
Umfang:8 S.
Illustrationen:Illustrationen
Fussnoten:Online veröffentlicht: 8. September 2023 ; Gesehen am 08.08.2024
Titel Quelle:Enthalten in: American Heart AssociationJournal of the American Heart Association
Ort Quelle:New York, NY : Association, 2012
Jahr Quelle:2023
Band/Heft Quelle:12(2023), 18, Artikel-ID e030615, Seite 1-8
ISSN Quelle:2047-9980
Abstract:Background - Data on the use of the wearable cardioverter‐defibrillator (WCD) among patients with myocarditis remain sparse. Consequently, evidence for guideline recommendations in this patient population is lacking. - Methods and Results - In total, 1596 consecutive patients were included in a multicenter registry from 8 European centers, with 124 patients (8%) having received the WCD due to myocarditis and reduced left ventricular ejection fraction or prior ventricular tachyarrhythmia. The mean age was 51.6±16.3 years, with 74% being male. Patients were discharged after index hospitalization on heart failure medication: Angiotensin‐converting enzyme inhibitors (62.5%), angiotensin‐receptor‐neprilysin inhibitor (22.9%), aldosterone‐antagonists (51%), or beta blockers (91.4%). The initial median left ventricular ejection fraction was 30% (22%-45%) and increased to 48% (39%-55%) over long‐term follow‐up (P<0.001). The median BNP (brain natriuretic peptide) level at baseline was 1702 pg/mL (565-3748) and decreased to 188 pg/mL (26-348) over long‐term follow‐up (P=0.022). The mean wear time was 79.7±52.1 days and 21.0±4.9 hours per day. Arrhythmic event rates documented by the WCD were 9.7% for nonsustained ventricular tachycardia, 6.5% for sustained ventricular tachycardia, and 0% for ventricular fibrillation. Subsequently, 2.4% of patients experienced an appropriate WCD shock. The rate of inappropriate WCD shocks was 0.8%. All 3 patients with appropriate WCD shock had experienced ventricular tachycardia/ventricular fibrillation before WCD prescription, with only 1 patient showing a left ventricular ejection fraction <35%. - Conclusions - Patients with myocarditis and risk for occurrence of ventricular tachyarrhythmia may benefit from WCD use. Prior ventricular arrhythmia might appear as a better risk predictor than a reduced left ventricular ejection fraction <35% in this population.
DOI:doi:10.1161/JAHA.123.030615
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/10.1161/JAHA.123.030615
 kostenfrei: Volltext: https://www.ahajournals.org/doi/10.1161/JAHA.123.030615
 DOI: https://doi.org/10.1161/JAHA.123.030615
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1898169780
Verknüpfungen:→ Zeitschrift

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