Evidence map›Paper›PMID 37568431›Full record

ArticleJournal of clinical medicine2023

Prevention of Early Sudden Cardiac Death after Myocardial Infarction Using the Wearable Cardioverter Defibrillator-Results from a Real-World Cohort.

Ursula Rohrer, Martin Manninger, Lukas Fiedler, Clemens Steinwender, Ronald K Binder, Markus Stühlinger, Birgit Zirngast, David Zweiker, Andreas Zirlik, Daniel Scherr and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Review
  3. 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

11 authors at 5 institutions in 1 country.

Ursula RohrerDivision of Cardiology, Department of Medicine, Medical University of Graz, 8036 Graz, Austria.ORCID 0000-0002-5278-6362
Martin ManningerDivision of Cardiology, Department of Medicine, Medical University of Graz, 8036 Graz, Austria.ORCID 0000-0002-0545-4373
Lukas FiedlerDivision of Internal Medicine, Cardiology and Nephrology, Department of Medicine, Hospital Wiener Neustadt, 2700 Wiener Neustadt, Austria.ORCID 0000-0003-2626-3098
Clemens SteinwenderDivision of Cardiology and Intensive Care, Department of Medicine, Kepler University Hospital Linz, 4020 Linz, Austria.
Ronald K BinderDivision of Cardiology and Intensive Care, Department of Medicine, Hospital Klinikum Wels-Grieskirchen, 4710 Grieskirchen, Austria.
Markus StühlingerDivision of Cardiology and Angiology, Department of Medicine, University Hospital Innsbruck, 6020 Innsbruck, Austria.
Birgit ZirngastDivision of Cardiac Surgery, Medical University of Graz, 8036 Graz, Austria.ORCID 0000-0002-6062-2210
David ZweikerDivision of Cardiology, Department of Medicine, Medical University of Graz, 8036 Graz, Austria.ORCID 0000-0002-7479-7767
Andreas ZirlikDivision of Cardiology, Department of Medicine, Medical University of Graz, 8036 Graz, Austria.
Daniel ScherrDivision of Cardiology, Department of Medicine, Medical University of Graz, 8036 Graz, Austria.
Austrian WCD Study Group
Medical University of Graz · ATFachhochschule Wiener Neustadt · ATKepler Universitätsklinikum · ATKlinikum Wels-Grieskirchen · ATUniversity Hospital Innsbruck · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAfter acute myocardial infarction (AMI), patients are at risk of sudden cardiac death. The VEST trial failed to show a reduction in arrhythmic mortality in AMI patients with an LVEF ≤ 35% prescribed with a WCD, having a lower-than-expected WCD wearing compliance.

objectivesThe aim was to investigate on outcomes of patients in a real-world Austrian cohort with good compliance.

methodsA retrospective analysis of all eligible Austrian WCD patients according to the VEST trial inclusion and exclusion criteria between 2010 and 2020 was performed.

resultsIn total, 105 Austrian patients (64 ± 11 years, 12% female; LVEF 28 ± 6%) received a WCD for a median of 69 (1; 277) days after AMI (wearing duration 23.5 (0; 24) hours/day). Within the first 90 days, 4/105 (3.8%) patients received 9 appropriate shocks (2 (1; 5) shocks). No inappropriate shocks were delivered, and 3/105 (2.9%) patients died during follow-up. Arrhythmic mortality (1.9% Austria vs. 1.6% VEST,

conclusionsThe WCD is a safe treatment option in a highly selected cohort of patients with LVEF ≤ 35% after AMI. However, despite excellent WCD wearing duration in our cohort, the arrhythmic mortality rate was not significantly different.

Indexed as

acute myocardial infarctionimplantable cardioverter defibrillatorsudden cardiac deathventricular fibrillationventricular tachycardiawearable cardioverter defibrillator

Identifiers

PMID37568431
PMCPMC10419414
OpenAlexW4385429883

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.