Wearable Cardioverter Defibrillator as a Treatment in Patients with Heart Failure of Various Aetiologies—A Series of Ten Cases Within the BIA-VEST Registry
2024

Wearable Cardioverter Defibrillator for Heart Failure Treatment

Sample size: 10 publication 10 minutes Evidence: moderate

Author Information

Author(s): Kazberuk Małgorzata, Pogorzelski Piotr, Kuźma Łukasz, Kurasz Anna, Róg-Makal Magdalena, Matys Urszula, Tokarewicz Justyna, Kralisz Paweł, Dobrzycki Sławomir

Primary Institution: Medical University of Białystok, Poland

Hypothesis

The study aimed to assess the efficacy of wearable cardioverter-defibrillator (WCD) usage in patients awaiting decision on therapy with implantable cardioverter-defibrillators (ICDs).

Conclusion

The WCD acts as a bridge to therapy and may be particularly beneficial for patients with transient or evolving conditions.

Supporting Evidence

  • All patients demonstrated good tolerance and compliance with the LifeVest WCD.
  • Patients wore the WCD for an average of 93.1 days, about 22.8 hours per day.
  • Six out of ten patients showed improvement in left ventricular ejection fraction (LVEF) and did not require ICD implantation.

Takeaway

The wearable defibrillator helps people with heart problems stay safe while they wait for more permanent treatments.

Methodology

A single-centre retrospective, observational case study focused on indications and usage of WCDs in patients with heart failure.

Limitations

The small number of patients with different indications for WCD therapy limits the generalizability of the findings.

Participant Demographics

Mean age of participants was 49.1 years, with a mix of genders and various heart conditions.

Statistical Information

P-Value

0.04

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3390/jcm13247686

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