Kishihara Jun, Niwano Shinichi, Nakamura Hironori, Igarashi Tazuru, Ishizue Naruya, Fujiishi Tamami, Oikawa Jun, Murakami Masami, Fukaya Hidehira, Ako Junya
Department of Cardiovascular Medicine, Kitasato University School of Medicine, Sagamihara, Japan.
J Arrhythm. 2016 Feb;32(1):67-9. doi: 10.1016/j.joa.2015.08.003. Epub 2015 Sep 26.
The wearable cardioverter-defibrillator (WCD) represents an alternative clinical approach to prevent sudden cardiac death as a bridge to therapy when making a final decision regarding the need for an implantable cardioverter defibrillator (ICD), especially in patients who are in the so-called gray zone according to ICD guidelines. Although the WCD system was introduced in Japan in April 2014, data regarding its usage and experience are limited. We report the first case of appropriate shock therapy using the WCD in an outpatient setting in Japan. We describe the case of a 22-year-old-woman who received the first case of successful appropriate WCD shock therapy in an outpatient setting in Japan.
可穿戴式心脏复律除颤器（WCD）是一种替代性的临床方法，用于预防心脏性猝死，作为在就是否需要植入式心脏复律除颤器（ICD）做出最终决定时的治疗桥梁，特别是对于那些根据ICD指南处于所谓灰色地带的患者。尽管WCD系统于2014年4月在日本引入，但其使用情况和经验数据有限。我们报告了日本门诊环境中首例使用WCD进行适当电击治疗的病例。我们描述了一名22岁女性的病例，她在日本门诊环境中接受了首例成功的WCD适当电击治疗。
