Use of the Wearable Cardioverter Defibrillator (WCD) in High-Risk Cardiac Patients: Data from the Prospective Registry of Patients Using the Wearable Cardioverter Defibrillator (WEARIT-II Registry)
- Prospective registry designed to provide data on the safety and efficacy of the WCD in a real world setting.
- Identify the rate of ejection fraction improvement and the need for ICD implantation at the end of WCD use.
- Prospective registry of 2,000 patients (median age = 62 years, median EF = 25%) prescribed a WCD between August 2011 and February 2014.
- Included patients with ischemic cardiomyopathy (n=805, 40%), non-ischemic cardiomyopathy (n=927, 46%), and congenital/inherited heart disease (n=268, 13.4%).
- Clinical data, arrhythmia events, ICD implantation rate, or improvement in ejection fraction (EF) rate were captured.
- The sustained VT/VF event rate was high with 22 events per 100 patient-years. 2.1% of patients had a VT/VF event.
- 1 in 14 patients experienced an arrhythmic event.1 The breakdown of these events follows:
- There was a low occurrence of inappropriate therapy (0.5%).
- Patient wear time with the WCD was high with a median daily use of 22.5 hours each day.
- Upon termination of WCD use, EF improved in 41% of patients to the point that an ICD was not longer indicated, while 42% of patients required permanent implantation of an ICD.
- The registry demonstrated a high rate of sustained VT/VF at 3 months in high-risk patients of all etiologies who are not eligible for an ICD, suggesting that a WCD can be safely used to protect patients during this time period of risk assessment.
- In addition to Sudden Cardiac Death (SCD) protection and treatment, the LifeVest WCD captures valuable data about the patient’s broader cardiac function that offers meaningful clinical value during the early period following a cardiac event.
- The high rate of both EF improvement and persistent arrhythmic risk in a high SCD risk population affirms the unpredictability of patient outcomes early after a cardiovascular event.
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Kutyifa V, Moss AJ, Klein H, et al. Use of the wearable cardioverter defibrillator in high-risk cardiac patients: Data from the prospective registry of patients using the wearable cardioverter defibrillator (WEARIT-II Registry). Circulation 2015;132(17):1613–1619.
1Kutyifa V. Goldenberg I, Zareba W, et al. Results from the prospective registry of patients using the wearable defibrillator (WEARIT-II registry). Presented as late breaking clinical trial at the 2014 European Society of Cardiology Congress, Sept 3, 2014.
*When the rhythm meets heart rate and morphology criteria, or through a patient initiated recording.