AHA Issues Advisory on Wearable Cardioverter-Defibrillator Tx

Share this content:
AHA Issues Advisory on Wearable Cardioverter-Defibrillator Tx
AHA Issues Advisory on Wearable Cardioverter-Defibrillator Tx

TUESDAY, March 29, 2016 (HealthDay News) -- Recommendations for use of wearable cardioverter-defibrillators (WCDs) are presented in a scientific statement issued by the American Heart Association and published online March 28 in Circulation.

Jonathan P. Piccini, Sr., M.D., from Duke University in Durham, N.C., and colleagues explored the use of a WCD, which is designed for patients at risk of sudden cardiac death (SCD) who are not immediate candidates for implantable cardioverter-defibrillator (ICD) therapy.

The researchers note that indications for WCD therapy suggest their use when there is a clear indication for an implanted/permanent device, which is accompanied by a transient contraindication or interruption in ICD care. Use of a WCD is reasonable as a bridge to a more definitive therapy, or in situations associated with increased risk of death in which ICDs reduce SCD risk but not overall survival. When there is concern about a heightened risk of SCD, which may resolve over time or with treatment, use of WCDs may be reasonable. In situations in which nonarrhythmic risk is expected to significantly exceed arrhythmic risk, WCDs should not be used.

"It is our opinion that the final decision on the use of the WCD should be based on shared decision making, which would include a frank risk-benefit discussion between the clinician and the patient that acknowledges the uncertainty surrounding the efficacy and safety of the WCD," the authors write.

Several authors disclosed financial ties to the pharmaceutical and medical device industries.

Full Text

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease



Sign up for myCME e-newsletters




More in Home

U.S. High School Students Report Sport-Linked Concussion

U.S. High School Students Report Sport-Linked Concussion

Overall, 15.1 percent of students reported having at least one concussion in the previous 12 months

Corneal Abnormalities Seen With Down Syndrome

Corneal Abnormalities Seen With Down Syndrome

More than 70 percent of patients in Down syndrome group had traits compatible with keratoconus

Many Childhood CA Survivors Not Concerned About Future Health

Many Childhood CA Survivors Not Concerned About Future ...

Even among those exposed to high radiation doses, one-third not concerned about developing cancer

is free, fast, and customized just for you!




Already a member?

Sign In Now »