| Autor: |
Christian Steinberg, Nicolas Dognin, Amit Sodhi, Catherine Champagne, John A. Staples, Jean Champagne, Zachary W. Laksman, Jean-François Sarrazin, Matthew T. Bennett, Benoit Plourde, Marc W. Deyell, Jason G. Andrade, Karine Roy, John A. Yeung-Lai-Wah, Nathaniel M. Hawkins, Blandine Mondésert, Louis Blier, Isabelle Nault, Gilles O’Hara, Andrew D. Krahn, François Philippon, Santabhanu Chakrabarti |
| Rok vydání: |
2021 |
| Předmět: |
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| Zdroj: |
Circulation. 145(10) |
| ISSN: |
1524-4539 |
| Popis: |
Background: Regulatory authorities of most industrialized countries recommend 6 months of private driving restriction after implantation of a secondary prevention implantable cardioverter-defibrillator (ICD). These driving restrictions result in significant inconvenience and social implications. This study aimed to assess the incidence rate of appropriate device therapies in contemporary recipients of a secondary prevention ICD. Methods: This retrospective study at 3 Canadian tertiary care centers enrolled consecutive patients with new secondary prevention ICD implants between 2016 and 2020. Results: For a median of 760 days (324, 1190 days), 721 patients were followed up. The risk of recurrent ventricular arrhythmia was highest during the first 3 months after device insertion (34.4%) and decreased over time (10.6% between 3 and 6 months, 11.7% between 6 and 12 months). The corresponding incidence rate per 100 patient-days was 0.48 (95% CI, 0.35–0.64) at 90 days, 0.28 (95% CI, 0.17–0.45) at 180 days, and 0.21 (95% CI, 0.13–0.33) between 181 and 365 days after ICD insertion ( P P Conclusions: The incidence rate of appropriate therapies resulting in sudden cardiac incapacitation in contemporary recipients of a secondary prevention ICD is much lower than previously reported and declines significantly after the first 3 months. Lowering driving restrictions to 3 months after the index cardiac event seems safe, and revision of existing guidelines should be considered in countries still adhering to a 6-month period. Existing restrictions for private driving after implantation of a secondary prevention ICD should be reconsidered. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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