Review
Cardiac & Cardiovascular Systems
Nso Nso, Mahmoud Nassar, Sofia Lakhdar, Sostanie Enoru, Laura Guzman, Vincent Rizzo, Most S. Munira, Farshid Radparvar, Senthil Thambidorai
Summary: Based on the updated evidence, subcutaneous implantable cardioverter-defibrillator (S-ICD) is safer and more effective than transvenous implantable cardioverter-defibrillator (TV-ICD) as it reduces the incidence of pocket complications, lead displacement or fracture, inappropriate sensing, defibrillation lead failure, pneumothorax/hemothorax, device failure, lead erosion, and all-cause mortality.
INTERNATIONAL JOURNAL OF CARDIOLOGY
(2022)
Article
Cardiac & Cardiovascular Systems
Badder Kattih, Felix Operhalski, Felicitas Boeckling, Florian Hecker, Felix Michael, Mate Vamos, Stefan H. Hohnloser, Julia W. Erath
Summary: This study evaluated the clinical outcomes of subcutaneous implantable cardioverter-defibrillator (S-ICD) and single-chamber transvenous (TV-ICD) in an all-comers population and found no significant differences in the composite endpoint, including survival, freedom of hospitalization, and device-associated events, between the two.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Review
Cardiac & Cardiovascular Systems
Sarah Wolf, Gregor Goetz, Bernhard Wernly, Claudia Wild
Summary: This systematic review evaluated the clinical effectiveness and safety of subcutaneous implantable cardioverter-defibrillator (S-ICD) in patients at an increased risk of sudden cardiac death. The results showed that S-ICD was non-inferior to TV-ICD in terms of inappropriate shocks and device-related complications. However, evidence regarding appropriate and inappropriate shocks was inconclusive and there was no significant difference in overall mortality and shock efficacy between S-ICD and TV-ICD.
Article
Cardiac & Cardiovascular Systems
Vincenzo Russo, Stefano Viani, Federico Migliore, Gerardo Nigro, Mauro Biffi, Gianfranco Tola, Giovanni Bisignani, Antonio Dello Russo, Paolo Sartori, Roberto Rordorf, Luca Ottaviano, Giovanni Battista Perego, Luca Checchi, Luca Segreti, Emanuele Bertaglia, Mariolina Lovecchio, Sergio Valsecchi, Maria Grazia Bongiorni
Summary: The study compared outcomes of patients who underwent lead abandonment and S-ICD implantation with those who underwent extraction and subsequent reimplantation of T-ICD after lead malfunction. Results showed 3 major complications or deaths in the S-ICD group and 11 in the T-ICD group during a median follow-up of 21 months. Minor complications were 4 in the S-ICD group and 5 in the T-ICD group.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2021)
Review
Cardiac & Cardiovascular Systems
Michela Barisone, Mark Hayter, Luca Ghirotto, Gianluca Catania, Milko Zanini, Alberto Dal Molin, Loredana Sasso, Annamaria Bagnasco
Summary: The study identified six themes in the experiences of ICD patients: fear and insecurity, the need for information, new impacts on life, living with ICD shocks, gender differences, and the role of the family. These results could help in developing new strategies and interventions to improve the quality of life for these patients.
EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING
(2022)
Article
Geriatrics & Gerontology
Christian Hauck, Andreas Schober, Alexander Schober, Sabine Fredersdorf-Hahn, Ute Hubauer, Andreas Keyser, Lars Maier, Carsten Jungbauer, Ekrem Uecer
Summary: Age is an independent predictor of mortality after ICD implantation for secondary prevention. Mortality rates did not differ significantly between octogenarians and other elderly aged 70-79 years. Appropriate ICD therapy and acute adverse events leading to surgical intervention were not age-related.
AGING CLINICAL AND EXPERIMENTAL RESEARCH
(2022)
Article
Medicine, General & Internal
Ignacio Roy, Lorena Malagon, Javier Martinez, Javier Romero, Munarriza Aitziber, Nuria Basterra
Summary: The study retrospectively analyzed patients who underwent ICD implantation at the Complejo Hospitalario de Navarra, finding a higher incidence of cancer in ICD carriers, mainly related to smoking and older age.
Article
Cardiac & Cardiovascular Systems
Parisha Khan, Karshana Selvarajah, Sheena Gohel, Baldeep S. Sidhu, Antonio Cannata, Daniel Bromage, Theresa McDonagh, Francis Murgatroyd, Paul A. Scott
Summary: This single-centre retrospective study aimed to evaluate the incidence and prognostic significance of syncope in consecutive ICD patients. The results showed that syncope was associated with a significantly increased risk of mortality and hospitalization, indicating its importance in the prognosis and healthcare of ICD patients.
Review
Medicine, General & Internal
Riccardo Vio, Enrico Forlin, Viktor Culic, Sakis Themistoclakis, Riccardo Proietti, Paolo China
Summary: This systematic review focuses on the type, techniques, complications, and success rate of S-ICD lead extraction (SLE). A total of 30 studies with 207 patients undergoing SLE were included. The majority of SLEs were performed for non-infective causes, and there is a need for dedicated tools and standardized approaches in the future. Authors are encouraged to share their experience and data to further improve current approaches.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Arwa Younis, Jeffrey J. Goldberger, Valentina Kutyifa, Wojciech Zareba, Bronislava Polonsky, Helmut Klein, Mehmet K. Aktas, David Huang, James Daubert, Mark Estes, David Cannom, Scott McNitt, Kenneth Stein, Ilan Goldenberg
Summary: A personalized ICD benefit prediction score has been developed to assess the likelihood of prophylactic ICD benefit by integrating the risks of ventricular tachycardia/ventricular fibrillation and non-arrhythmic mortality. Three different benefit groups were identified, based on the predicted risks, providing a reference for decision-making on prophylactic ICD implantation.
EUROPEAN HEART JOURNAL
(2021)
Review
Medicine, General & Internal
Wen Zhuo, Hualong Liu, Linghua Fu, Weiguo Fan, Kui Hong
Summary: A meta-analysis was conducted to assess the effect of digitalis on recipients of implantable cardioverter defibrillators (ICD) or cardiac resynchronization therapy defibrillators (CRT-D). The results showed that digitalis was associated with an increased rate of appropriate shocks and a shortened time to first appropriate shock in ICD or CRT-D recipients. Furthermore, digitalis therapy was found to increase all-cause mortality in ICD recipients, but had no effect on the mortality rate of CRT-D recipients or patients who received ICD or CRT-D therapy.
JOURNAL OF CLINICAL MEDICINE
(2023)
Review
Psychiatry
Nanna Lindekilde, Ole Skov, Soren J. Skovbakke, Jens B. Johansen, Jens C. Nielsen, Susanne S. Pedersen
Summary: This study examined the associations between baseline anxiety and depression and the occurrence of ICD shocks and risk of mortality in patients with an implantable cardioverter defibrillator (ICD). The results showed no association between baseline anxiety or depression and the occurrence of ICD shocks, but a significant association between baseline anxiety or depression and increased risk of mortality. Therefore, including baseline anxiety and depression in risk stratification of mortality may be necessary.
GENERAL HOSPITAL PSYCHIATRY
(2022)
Review
Cardiac & Cardiovascular Systems
Johanna B. Tonko, Christopher A. Rinaldi
Summary: Implantable cardioverter-defibrillators (ICDs) have revolutionized the treatment of cardiac diseases. However, there is a need for alternative ICD configurations due to expanding patient groups and increasing complications associated with traditional devices.
Article
Cardiac & Cardiovascular Systems
Marie Lewenhardt, Fabienne Kreimer, Assem Aweimer, Andreas Pflaumbaum, Andreas Muegge, Michael Gotzmann
Summary: This study analyzed the outcomes of patients of different age groups who received implantable cardioverter-defibrillators (ICD). The results suggest that the indication for primary prophylactic ICD in elderly and very old patients should be critically evaluated. However, age should not be a factor in denying secondary prophylactic ICD implantation.
CLINICAL CARDIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Michael R. Gold, Johan D. Aasbo, Raul Weiss, Martin C. Burke, Marye J. Gleva, Bradley P. Knight, Marc A. Miller, Claudio D. Schuger, Nathan Carter, Jill Leigh, Amy J. Brisben, Mikhael F. El-Chami
Summary: Infection rates in S-ICD patients are similar to other populations and not associated with systemic blood-borne infections. Late infections are rare and primarily related to system erosion. A high-risk infection cohort can be identified based on multiple predictors.