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Table 2 Follow-up during and after WCD use

From: Therapy optimization in patients with heart failure: the role of the wearable cardioverter-defibrillator in a real-world setting

Total number of patients

All patients

Newly diagnosed ICM

Newly diagnosed NICM

ICD explant

Newly diagnosed CMP

 

LVEF ≤ 35%

LVEF ≤ 35%

 

LVEF ≥ 35%

n = 105

n = 43

n = 41

n = 15

n = 6

Wearing days, mean ± SD

68.8 ± 50.4

57.8 ± 42.6

69.2 ± 39.6

92.5 ± 87.0

70.2 ± 31.2

Wearing hours/day, mean ± SD

21.5 ± 3.5

21.0 ± 3.8

21.3 ± 3.5

23.1 ± 1.1

22.4 ± 1.7

LVEF % baseline, mean ± SD

28.3 ± 9.8

28.9 ± 6.0

23.3 ± 6.9

32.2 ± 13.3

49.0 ± 7.5

LVEF % end of WCD use, mean ± SD

36.1 ± 11.5

36.3 ± 10.3

34.8 ± 11.1

32.9 ± 13.0

50.8 ± 8.6

(p value of LVEF baseline versus end of WCD use)

(p < 0.001)

(p < 0.001)

(p < 0.001)

(p = n.s.)

(p = n.s.)

ICD implanted

 Total n (%)

54 (51.4)

21 (48.8)

18 (43.9)

13 (86.7)

2 (33.3)

 Days WCD start to ICD implantation, mean ± SD

103.8 ± 73.7

127.7 ± 84.1

90.0 ± 36.8

94.7 ± 90.3

37.0 ± 18.4

 Single-chamber ICD, n (%)

8 (7.6)

3 (7.0)

4 (9.8)

0 (0)

1 (16.7)

 Dual-chamber ICD, n (%)

4 (3.8)

1 (2.3)

0 (0)

2 (13.3)

1 (16.7)

 CRT-D, n (%)

12 (11.4)

3 (7.0)

5 (12.2)

4 (26.7)

0 (0)

 S-ICD, n (%)

30 (28.6)

14 (32.6)

9 (22.0)

7 (46.7)

0 (0)

No ICD implanted

 Total, n (%)

51 (48.6)

22 (51.2)

23 (56.1)

2 (13.3)

4 (66.7)

 LVEF recovery to > 35%, n (%)

40 (38.1)

19 (44.2)

21 (51.2)

0 (0)

0 (0)

 Transient WCD indication, n (%)

4 (3.8)

0 (0)

0 (0)

0 (0)

4 (33.3)

 Patient refused ICD, n (%)

5 (4.8)

2 (4.7)

2 (4.9)

1 (6.7)

0 (0)

 Death during WCD wear, n (%)

2 (1.9)

1 (2.3)

0 (0)

1 (6.7)

0 (0)

 Arrhythmic death during WCD wear, n (%)

0 (0)

0 (0)

0 (0)

0 (0)

0 (0)

  1. CRT-D = cardiac resynchronization therapy with defibrillator, ICM = ischemic cardiomyopathy, ICD = implantable cardioverter-defibrillator, LVEF = left ventricular ejection fraction, n = number of patients, NICM = non-ischemic cardiomyopathy, SD = standard deviation, S-ICD = subcutaneous ICD, WCD = wearable cardioverter-defibrillator