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Die Defibrillatorweste

Passagerer Schutz vor dem plötzlichen Herztod

The wearable cardioverter/defibrillator

Temporary protection from sudden cardiac death

  • Schwerpunkt: Interventionelle Therapien II
  • Published:
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Zusammenfassung

Der plötzliche Herztod ist in der überwiegenden Zahl der Fälle bedingt durch ventrikuläre Tachyarrhythmien. Implantierbare Kardioverter/Defibrillatoren (ICD) stellen heute eine evidenzbasierte und gut etablierte Methode zur Prävention des plötzlichen Herztods dar. Für Patienten, die die Kriterien für eine leitliniengerechte ICD-Implantation nicht erfüllen und dennoch ein erhöhtes, z. B. transientes, Risiko für den plötzlichen Herztod haben, wurde der tragbare Kardioverter/Defibrillator („wearable cardioverter/defibrillator“ [WCD]) etabliert. Zahlreiche Studien konnten die Sicherheit und Effektivität des WCD belegen, auch wenn randomisierte Studien zum Nachweis einer Reduktion der Mortalität und Prognoseverbesserung noch fehlen. Diese Übersichtsarbeit liefert einen Überblick über die aktuelle Datenlage, die Indikationen für den WCD sowie dessen potenzielle Risiken und Komplikationen.

Abstract

In the majority of cases sudden cardiac death (SCD) is caused by ventricular tachyarrhythmia. Implantable cardioverter-defibrillators (ICD) represent an evidence-based and established method for prevention of SCD. For patients who do not fulfill the criteria for guideline-conform implantation of an ICD but still have an increased, e.g. transient risk for SCD, a wearable cardioverter-defibrillator (WCD) vest was developed to temporarily prevent SCD. Numerous studies have shown the safety and efficacy of the WCD, although there is still a gap in evidence concerning a reduction in overall mortality and improvement in prognosis. This article gives an overview on the currently available literature on WCD, the indications, potential risks and complications.

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Authors and Affiliations

  1. Klinik für Kardiologie und Angiologie, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland

    D. Duncker, J. Bauersachs & C. Veltmann

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  1. D. Duncker
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  2. J. Bauersachs
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  3. C. Veltmann
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Correspondence to D. Duncker.

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Interessenkonflikt

D. Duncker erhielt Vortragshonorare und Reisekostenunterstützung von ZOLL, C. Veltmann erhielt Vortragshonorare, Reisekostenunterstützung und Forschungsmittel von ZOLL. J. Bauersachs gibt an, dass kein Interessenkonflikt besteht.

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H. Haller, Hannover

G. Hasenfuß, Göttingen

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Duncker, D., Bauersachs, J. & Veltmann, C. Die Defibrillatorweste. Internist 57, 864–870 (2016). https://doi.org/10.1007/s00108-016-0110-2

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  • DOI: https://doi.org/10.1007/s00108-016-0110-2

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