Reassessment of practical usage and accumulation of real‐world data of wearable cardioverter defibrillator (WCD) in Japan—Design paper for J‐WCDR study

Journal of Arrhythmia

J‐WCDR investigators¹  Akihiko Nogami²  Yusuke Kondo³  Shinichi Niwano⁴  Yu‐Ki Iwasaki⁵  Takashi Nitta⁵  Haruhiko Abe⁶  Masahiko Takagi⁷  Yukio Sekiguchi⁸  Takashi Kurita⁹  Ritsushi Kato^1,10 

[1] ;Department of Cardiology University of Tsukuba Tsukuba Japan;Department of Cardiovascular Medicine Chiba University Graduate School of Medicine Chiba Japan;Department of Cardiovascular Medicine Kitasato University School of Medicine Sagamihara Japan;Department of Cardiovascular Surgery Nippon Medical School Tokyo Japan;Department of Heart Rhythm Management University of Occupational and Environmental Health Kitakyushu Japan;Department of Medicine II Kansai Medical University Osaka Japan;Division of Cardiology Kasumigaura Medical Center Tsuchiura Japan;Division of Cardiovascular Center Kindai University Osaka‐Sayama Japan;The Department of Cardiology Saitama Medical UniversityInternational Medical Center Saitama Japan;

关键词: defibrillation device;    sudden cardiac death;    ventricular arrhythmia;    wearable cardioverter defibrillator;   

DOI  :  10.1002/joa3.12456

来源: DOAJ

【 摘 要 】

Abstract Although implantable cardioverter defibrillators (ICDs) are a powerful preventive therapy for cardiac sudden death, there are some populations in whom ICDs cannot be applied because of a lack of a definitive indication (grey‐zone patients), such as in patients during the acute phase of cardiac injury with a susceptible risk for lethal arrhythmias. In such patients, wearable cardioverter defibrillators (WCDs) provide safer bridging period during the acute phase until the final decision‐making for the ICD use and it may eliminate any inappropriate overuse of ICDs in the subacute phase. The JCS/JHRS practical guidelines provide the criteria for WCD use in Japan. Nevertheless, the evidence for that is totally limited in Japan and is dependent on the accumulation of actual real‐world data from other countries in order to be able to discuss the appropriate criteria for WCD use. This study will be conducted retrospectively and/or prospectively, and is an observational and multicenter study among Japanese institutions (J‐WCDR, Japan WCD Registry). This will provide evidence for WCD use in our own country and contribute to upcoming updates for the future guideline revisions.

【 授权许可】

Unknown