ANMCO position paper: guide to the appropriate use of the wearable cardioverter defibrillator in clinical practice for patients at high transient risk of sudden cardiac death.

Autor:	Casolo G; U.O.C. Cardiology, Versilia Hospital, Lido di Camaiore, Lucca 55043., Gulizia MM; U.O.C. Cardiology, Garibaldi-Nesima Hospital, Azienda di Rilievo Nazionale e Alta Specializzazione 'Garibaldi', Catania., Aschieri D; U.O.C. Cardiology, Guglielmo da Saliceto Hospital, Piacenza., Chinaglia A; S.C. Cardiology, San Luigi Gonzaga Hospital, Orbassano, Torino., Corda M; S.C. Cardiology-UTIC, ARNAS 'G. Brotzu', Cagliari., Nassiacos D; U.O.C Cardiology-UTIC, P.O. Saronno, ASST Valle Olona, Saronno, Varese., Caico SI; U.O. Cardiology, Gallarate Hospital, ASST Valle Olona, Gallarate, Varese., Chimenti C; Department of Clinical Internal, Anaesthesiological and Cardiovascular Sciences, Sapienza University of Rome, Azienda Ospedaliera Universitaria Policlinico Umberto I, Rome., Giaccardi M; U.O. Cardiology, Santa Maria Annunziata Hospital, Bagno a Ripoli, Florence., Gotti E; Department of Nephrological, Cardiac and Vascular Diseases, University of Modena and Reggio Emilia, Baggiovara Civil Hospital, Modena., Maffé S; U.O. Cardiology, SS Trinità Hospital, ASL NO, Borgomanero, Novara., Magnano R; U.O.C. Cardiology-UTIC, Santo Spirito Hospital, Pescara., Solarino G; U.O.C. Cardiology, Versilia Hospital, Lido di Camaiore, Lucca 55043., Gabrielli D; U.O.C. Cardiology, Department of Cardio-Thoraco-Vascular, Azienda Ospedaliera San Camillo Forlanini, Rome.; Fondazione per il Tuo cuore-Heart Care Foundation, Florence., Oliva F; Cardiology 1-Emodinamics, Cardiothoracovascular Department 'A. De Gasperis', ASST Grande Ospedale Metropolitano Niguarda, Milan., Colivicchi F; U.O.C. Clinical and Rehabilitation Cardiology, Presidio Ospedaliero San Filippo Neri-ASL Roma 1, Rome.
Jazyk:	angličtina
Zdroj:	European heart journal supplements : journal of the European Society of Cardiology [Eur Heart J Suppl] 2023 May 18; Vol. 25 (Suppl D), pp. D294-D311. Date of Electronic Publication: 2023 May 18 (Print Publication: 2023).
DOI:	10.1093/eurheartjsupp/suad101
Abstrakt:	Extended risk stratification and optimal management of patients with a permanently increased risk of sudden cardiac death (SCD) are becoming increasingly important. There are several clinical conditions where the risk of arrhythmic death is present albeit only transient. As an example, patients with depressed left ventricular function have a high risk of SCD that may be only transient if there will be a significant recovery of function. It is important to protect the patients while receiving and titrating to the optimal dose the recommended drugs that may lead to an improved left ventricular function. In several other conditions, a transient risk of SCD can be observed even if the left ventricular function is not compromised. Examples are patients with acute myocarditis, during the diagnostic work-up of some arrhythmic conditions or after extraction of infected catheters while eradicating the associated infection. In all these conditions, it is important to offer a protection to these patients. The wearable cardioverter defibrillator (WCD) is of particular importance as a temporary non-invasive technology for both arrhythmia monitoring and therapy in patients with increased risk of SCD. Previous studies have shown the WCD to be an effective and safe therapy for the prevention of SCD caused by ventricular tachycardia/fibrillation. The aim of this ANMCO position paper is to provide a recommendation for clinical utilization of the WCD in Italy, based upon current data and international guidelines. In this document, we will review the WCD functionality, indications, clinical evidence, and guideline recommendations. Finally, a recommendation for the utilization of the WCD in routine clinical practice will be presented, in order to provide physicians with a practical guidance for SCD risk stratification in patients who may benefit from this device. (© The Author(s) 2023. Published by Oxford University Press on behalf of European Society of Cardiology.)
Databáze:	MEDLINE
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