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June 1, 2015Herzschrittmachertherapie + Elektrophysiologie

The subcutaneous cardioverter-defibrillator: When less is more.

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Why the study?

Does the subcutaneous implantable cardioverter-defibrillator (S-ICD) provide safe and effective therapy compared to transvenous ICDs in patients at risk for sudden cardiac death?

Population

Patients at risk for sudden cardiac death with an indication for an implantable cardioverter-defibrillator…

Comparison

Subcutaneous implantable cardioverter-defibrillat… vs Transvenous implantable cardioverter-defibrillator

Design

Review

Authors

JKJürgen KuschykBRBoris RudicİAİbrahim Akın

Discussion

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Overview

May reduce lead-related complications with S-ICD; leaves open need for randomized data on long-term efficacy.

Structured PICO

Does the subcutaneous implantable cardioverter-defibrillator (S-ICD) provide safe and effective therapy compared to transvenous ICDs in patients at risk for sudden cardiac death?

P
Population
Patients at risk for sudden cardiac death with an indication for an implantable cardioverter-defibrillator (ICD), excluding those with pacing or cardiac resynchronization therapy (CRT) indication, ventricular tachycardia < 170 bpm, negative screening, or arrhythmia suppressible by overdrive pacing.
I
Intervention
Subcutaneous implantable cardioverter-defibrillator (S-ICD)
C
Comparator
Transvenous implantable cardioverter-defibrillator (TV-ICD)
O
Outcome
Efficacy and safety

The S-ICD is a safe and effective alternative to transvenous ICDs for the prevention of sudden cardiac death in patients who do not require pacing or CRT.

Cite This Study

Kuschyk et al. (2015) studied this question.

synapsesocial.com/papers/6a79844802ab7a73dd0264cbhttps://doi.org/10.1007/s00399-015-0378-2
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The subcutaneous ICD-current evidence and challenges.2014 · 17 citations
  2. 2Safety and Efficacy of the Totally Subcutaneous Implantable Defibrillator2015 · 500 citations
  3. 3Worldwide experience with a totally subcutaneous implantable defibrillator: early results from the EFFORTLESS S-ICD Registry2014 · 463 citations
  4. 4An Entirely Subcutaneous Implantable Cardioverter–Defibrillator2010 · 781 citations
  5. 5A Multicenter Study of Shock Pathways for Subcutaneous Implantable Defibrillators2013 · 11 citations