Evidence map›Paper›PMID 37536671›Full record

ArticleEuropace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology2023

Modern subcutaneous implantable defibrillator therapy in patients with cardiomyopathies and channelopathies: data from a large multicentre registry.

Federico Migliore, Mauro Biffi, Stefano Viani, Raimondo Pittorru, Pietro Francia, Paolo Pieragnoli, Paolo De Filippo, Giovanni Bisignani, Gerardo Nigro, Antonio Dello Russo and 11 more

Registry-linked trialOpen access · hybridAbstract readMulticenter Study
In one paragraph

Article in Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02275637 (Arrhythmias Detection in a Real World Population), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.2field-weighted citation impact, top 5% 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.

NCT02275637 recruitingnot on this map

Arrhythmias Detection in a Real World Population: the RHYTHM DETECT Registry

TypeobservationalSponsorFondazione IRCCS Policlinico San Matteo di PaviaRan2014 to 2028Enrolled10,000ConditionsAppropriate and Inappropriate Shock Therapy With ICD, Arrhythmias DetectionArmsimplantable cardioverter defibrillator
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Transvenous and subcutaneous implantable cardioverter-defibrillator in arrhythmogenic cardiomyopathy: insights from a single-centre experience.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Article
  3. Temporal trends in the primary prevention of implantable cardioverter-defibrillator selection and long-term outcomes in patients with non-ischaemic dilated cardiomyopathy and ischaemic cardiomyopathy.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Article
  4. Article
  5. Outcomes for patients implanted with a cardioverter-defibrillator at <19 years of age: a Swedish national study.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Article
  6. Article
  7. The SIDECAR 2.0 (S-ICD registry in European paediatric and young adult patients with congenital heart defects 2.0): an analysis of European S-ICD clinical practice and its evolution in paediatric patients.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
    Observational
  8. Co-presence of subcutaneous implantable cardioverter-defibrillator and leadless pacemaker in high-risk infection patients: are we out of the woods?Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2025
    Article
  9. Review
  10. The risk of failure of subcutaneous implantable cardioverter defibrillator therapy: from PRAETORIAN score to clinical practice.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
    Observational
  11. Article
  12. Article
  13. Implantable cardioverter defibrillator therapy in paediatric patients for primary vs. secondary prevention.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    Article
  14. Contemporary trends and factors associated with use of subcutaneous versus transvenous implantable cardioverter-defibrillator therapy.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    Article
  15. Sex differences among subcutaneous implantable cardioverter-defibrillator recipients: a propensity-matched, multicentre, international analysis from the i-SUSI project.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    Observational
  16. Review
  17. Review
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

21 authors at 16 institutions in 1 country.

Federico MiglioreDepartment of Cardiac, Thoracic Vascular Sciences and Public Health, University of Padova, Padova, Italy.ORCID 0000-0001-8574-9421
Mauro BiffiInstitute of Cardiology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Policlinico S.Orsola-Malpighi, Bologna, Italy.ORCID 0000-0003-4590-8584
Stefano VianiSecond Cardiology Division, Cardio-Thoracic and Vascular Department, University Hospital of Pisa, Pisa, Italy.ORCID 0000-0001-8240-9181
Raimondo PittorruDepartment of Cardiac, Thoracic Vascular Sciences and Public Health, University of Padova, Padova, Italy.ORCID 0009-0007-8824-4868
Pietro FranciaCardiology, Department of Clinical and Molecular Medicine, Sant'Andrea Hospital, University Sapienza, Rome, Italy.ORCID 0000-0003-0306-7764
Paolo PieragnoliArrhythmic Disease Unit, University of Florence, Florence, Italy.ORCID 0000-0002-4594-2240
Paolo De FilippoCardiac Electrophysiology and Pacing Unit, Papa Giovanni XXIII Hospital, Bergamo, Italy.ORCID 0000-0002-1144-5000
Giovanni BisignaniDivision of Cardiology, Castrovillari Hospital, Cosenza, Italy.
Gerardo NigroDepartment of Translational Medical Sciences, University of Campania 'Luigi Vanvitelli', Naples, Italy.ORCID 0000-0003-1776-8449
Antonio Dello RussoCardiology and Arrhythmology Clinic, Università Politecnica delle Marche, Ancona, Italy.ORCID 0000-0001-7737-421X
Ennio PisanòCardiology Unit, 'Vito Fazzi' Hospital, Lecce, Italy.ORCID 0000-0002-0187-0492
Pietro PalmisanoCardiology Unit, 'Card. G. Panico' Hospital, Tricase, Italy.ORCID 0000-0001-6705-6218
Antonio RapacciuoloDepartment of Advanced Biomedical Sciences, Federico II University of Naples, Naples, Italy.ORCID 0000-0002-4739-7004
Massimo Stefano SilvettiPediatric Cardiology and Cardiac Arrhythmia/Syncope Unit, Bambino Gesù Children's Hospital IRCCS, Rome, Italy.ORCID 0000-0001-9284-5972
Carlo LavalleCardiology Department, Policlinico Umberto I - La Sapienza University, Rome, Italy.ORCID 0000-0002-0794-4296
Antonio CurcioDipartimento di Scienze Mediche e Chirurgiche, Università degli Studi Magna Graecia, Campus di Germaneto, Catanzaro, Italy.ORCID 0000-0003-3213-4436
Roberto RordorfCardiac Intensive Care Unit, Arrhythmia and Electrophysiology and Experimental Cardiology, IRCCS Fondazione Policlinico S. Matteo, Pavia, Italy.ORCID 0000-0003-4111-1690
Mariolina LovecchioCardiac Rhythm Management Division, Boston Scientific, Milan, Italy.
Sergio ValsecchiCardiac Rhythm Management Division, Boston Scientific, Milan, Italy.ORCID 0000-0001-7055-6942
Antonio D'Onofrio'Unità Operativa di Elettrofisiologia, Studio e Terapia delle Aritmie', Monaldi Hospital, Naples, Italy.ORCID 0000-0002-8739-5572
Giovanni Luca BottoDepartment of Clinical cardiology and Electrophysiology ASST Rhodense, Rho and Garbagnate M.se, Milan, Italy.ORCID 0000-0002-8049-7517
University of Padua · ITAzienda Ospedaliera Sant'Andrea · ITAzienda Ospedaliera Universitaria Pisana · ITAziende Socio Sanitaria Territoriale RhodenseBambino Gesù Children's Hospital · ITIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITMagna Graecia University · ITMarche Polytechnic University · ITOspedale Monaldi · ITOspedale Papa Giovanni XXIII · ITOspedale Vito Fazzi · ITPoliclinico San Matteo Fondazione · ITPoliclinico Umberto I · ITUniversity of Campania "Luigi Vanvitelli" · ITUniversity of Florence · ITUniversity of Naples Federico II · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsPatients with cardiomyopathies and channelopathies are usually younger and have a predominantly arrhythmia-related prognosis; they have nearly normal life expectancy thanks to the protection against sudden cardiac death provided by the implantable cardioverter defibrillator (ICD). The subcutaneous ICD (S-ICD) is an effective alternative to the transvenous ICD and has evolved over the years. This study aimed to evaluate the rate of inappropriate shocks (IS), appropriate therapies, and device-related complications in patients with cardiomyopathies and channelopathies who underwent modern S-ICD implantation. METHODS AND

resultsWe enrolled consecutive patients with cardiomyopathies and channelopathies who had undergone implantation of a modern S-ICD from January 2016 to December 2020 and who were followed up until December 2022. A total of 1338 S-ICD implantations were performed within the observation period. Of these patients, 628 had cardiomyopathies or channelopathies. The rate of IS at 12 months was 4.6% [95% confidence interval (CI): 2.8-6.9] in patients with cardiomyopathies and 1.1% (95% CI: 0.1-3.8) in patients with channelopathies (P = 0.032). No significant differences were noted over a median follow-up of 43 months [hazard ratio (HR): 0.76; 95% CI: 0.45-1.31; P = 0.351]. The rate of appropriate shocks at 12 months was 2.3% (95% CI: 1.1-4.1) in patients with cardiomyopathies and 2.1% (95% CI: 0.6-5.3) in patients with channelopathies (P = 1.0). The rate of device-related complications was 0.9% (95% CI: 0.3-2.3) and 3.2% (95% CI: 1.2-6.8), respectively (P = 0.074). No significant differences were noted over the entire follow-up. The need for pacing was low, occurring in 0.8% of patients.

conclusionModern S-ICDs may be a valuable alternative to transvenous ICDs in patients with cardiomyopathies and channelopathies. Our findings suggest that modern S-ICD therapy carries a low rate of IS. CLINICAL

trial registrationURL: http://clinicaltrials.gov/Identifier: NCT02275637.

Indexed as

CardiomyopathiesChannelopathiesDefibrillators, ImplantableDeath, Sudden, CardiacHumansRegistriesTreatment OutcomeCardiomyopathiesChannelopathiesImplantable defibrillatorInappropriate shockSubcutaneous

Identifiers

PMID37536671
PMCPMC10438213
OpenAlexW4385563849

What OpenQuestion holds

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Registered trials

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.