日本可穿戴式心脏复律除颤器的使用现状。
Current status of wearable cardioverter-defibrillator use in Japan.
作者信息
Tonegawa-Kuji Reina, Nishida Taku, Sumita Yoko, Miyamoto Yoshihiro, Kanaoka Koshiro
机构信息
Department of Medical and Health Information Management National Cerebral and Cardiovascular Center Suita Japan.
Department of Cardiovascular Medicine Nara Medical University Nara Japan.
出版信息
J Arrhythm. 2024 Jul 14;40(4):998-1000. doi: 10.1002/joa3.13113. eCollection 2024 Aug.
BACKGROUND
The current status of wearable cardiovascular defibrillators (WCD) use in Japan is unclear.
METHODS
Using a nationwide claims database of Japan, we assessed characteristics of patients using WCD and factors influencing subsequent implantable cardioverter-defibrillator (ICD) implantation.
RESULTS
In 1049 cases, those with prior cardiopulmonary arrest (CPA) or ventricular arrhythmia, cardiomyopathy, or device-related issues were more likely to require permanent ICDs, whereas females were less likely.
CONCLUSIONS
Prior CPA or fatal arrhythmia, underlying cardiomyopathy, or device-related issues were associated with future permanent ICD implantation. These findings offer insights into the current status of WCD use in Japan.
背景
日本可穿戴式心血管除颤器（WCD）的使用现状尚不清楚。
方法
利用日本全国性的索赔数据库，我们评估了使用WCD的患者特征以及影响后续植入式心脏复律除颤器（ICD）植入的因素。
结果
在1049例病例中，既往有心脏骤停（CPA）或室性心律失常、心肌病或设备相关问题的患者更有可能需要永久性ICD，而女性患者的可能性较小。
结论
既往CPA或致命性心律失常、潜在的心肌病或设备相关问题与未来永久性ICD植入有关。这些发现为日本WCD的使用现状提供了见解。
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