Evidence map›Paper›PMID 32542076›Full record

ArticleArchives of medical science : AMS2020

Multicentre early experience with totally subcutaneous cardioverter-defibrillators in Poland.

Krzysztof Kaczmarek, Maciej Kempa, Marcin Grabowski, Mateusz Tajstra, Adam Sokal, Iwona Cygankiewicz, Radosław Zwoliński, Marcin Michalak, Michal Kowara, Szymon Budrejko and 7 more

Open access · goldAbstract read
In one paragraph

Article in Archives of medical science : AMS, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 3 institutions in 1 country.

Krzysztof KaczmarekDepartment of Electrocardiology, Medical University of Lodz, Lodz, Poland.
Maciej KempaDepartment of Cardiology and Electrotherapy, Medical University of Gdansk, Gdansk, Poland.
Marcin Grabowski1 Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.
Mateusz Tajstra3 Chair and Department of Cardiology, Silesian Medical University, Katowice, Poland.
Adam SokalDepartment of Cardiology, Congenital Heart Diseases and Electrotherapy, SIlesian Medical University, Katowice, Poland.
Iwona CygankiewiczDepartment of Electrocardiology, Medical University of Lodz, Lodz, Poland.
Radosław ZwolińskiDepartment of Cardiosurgery, Medical University of Lodz, Lodz, Poland.
Marcin Michalak1 Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.
Michal Kowara1 Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.
Szymon BudrejkoDepartment of Cardiology and Electrotherapy, Medical University of Gdansk, Gdansk, Poland.
Anna Kurek3 Chair and Department of Cardiology, Silesian Medical University, Katowice, Poland.
Jerzy K WraniczDepartment of Electrocardiology, Medical University of Lodz, Lodz, Poland.
Grzegorz RaczakDepartment of Cardiology and Electrotherapy, Medical University of Gdansk, Gdansk, Poland.
Grzegorz Opolski1 Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.
Mariusz Gąsior3 Chair and Department of Cardiology, Silesian Medical University, Katowice, Poland.
Oskar KowalskiDepartment of Cardiology, Congenital Heart Diseases and Electrotherapy, SIlesian Medical University, Katowice, Poland.
Paweł PtaszyńskiDepartment of Electrocardiology, Medical University of Lodz, Lodz, Poland.
Medical University of Lodz · PLMedical University of Warsaw · PLGdańsk Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionImplantable cardioverter-defibrillators (ICD) have a strong position in the prevention of sudden death. Nowadays, the most commonly used high-energy cardiac devices are transvenous ICDs. A new technology of totally subcutaneous ICDs (S-ICD) was invented and recently introduced into clinical practice in order to reduce lead-related complications of conventional ICDs. The aim of this paper is to present early experience with this new technology implemented in a few centres in Poland. MATERIAL AND

methodsMedical records of patients who had S-ICD-related interventions in Poland were retrospectively analysed.

resultsDuring the first year of S-ICD introduction into the Polish health system 18 patients underwent surgery connected with S-ICDs. Majority of them (17 patients) were implanted de novo. In one patient surgical revision of a device implanted abroad was performed. Most of patients (78%) had S-ICDs implanted for secondary prevention. Inability of transvenous system implantation due to venous access obstruction or high risk of infection related with transvenous leads accounted for 83% of indications for S-ICD. Only in three patients were S-ICDs implanted due to young age and active mode of life. The implantations of S-ICDs were performed without important early or late complications. During follow-up one patient had episodes of ventricular arrhythmia successfully terminated with high-energy shocks. One patient died due to progression of heart failure.

conclusionsS-ICD implantation procedure has been successfully and safely introduced in Polish clinical routine. Nevertheless, despite clear indications in recent ESC guidelines, this therapy is not directly reimbursed in Poland and needs individual application for refund.

Indexed as

implantable cardioverter defibrillatorsubcutaneous cardioverter defibrillatorsudden cardiac death

Identifiers

PMID32542076
PMCPMC7286329
OpenAlexW2947247151

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.