Duncker D, Bauersachs J, Veltmann C
Klinik für Kardiologie und Angiologie, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.
Internist (Berl). 2016 Sep;57(9):864-70. doi: 10.1007/s00108-016-0110-2.
In the majority of cases sudden cardiac death (SCD) is caused by ventricular tachyarrhythmia. Implantable cardioverter-defibrillators (ICD) represent an evidence-based and established method for prevention of SCD. For patients who do not fulfill the criteria for guideline-conform implantation of an ICD but still have an increased, e.g. transient risk for SCD, a wearable cardioverter-defibrillator (WCD) vest was developed to temporarily prevent SCD. Numerous studies have shown the safety and efficacy of the WCD, although there is still a gap in evidence concerning a reduction in overall mortality and improvement in prognosis. This article gives an overview on the currently available literature on WCD, the indications, potential risks and complications.
在大多数情况下,心源性猝死(SCD)是由室性快速心律失常引起的。植入式心脏复律除颤器(ICD)是一种基于证据的、既定的预防SCD的方法。对于不符合ICD指南适应证但仍有增加的(如短暂性)SCD风险的患者,开发了可穿戴式心脏复律除颤器(WCD)背心以暂时预防SCD。大量研究已表明WCD的安全性和有效性,尽管在总体死亡率降低和预后改善方面的证据仍存在差距。本文概述了目前关于WCD的可用文献、适应证、潜在风险和并发症。