The Role of Subcutaneous ICDs in the Prevention of Sudden Cardiac Death

The ICD is an important therapy in the prevention of sudden cardiac death. The transvenous-ICD (TV-ICD) has been the primary device used for this purpose. However, mechanical and infectious complications occur with traditional TV-ICDs increasing morbidity and mortality. The subcutaneous-ICD (S-ICD)...

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Autores principales:	Leah A John, Ahmadreza Karimianpour, Michael R Gold
Formato:	article
Lenguaje:	EN
Publicado:	Radcliffe Medical Media 2021
Materias:	Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/162a5c2ad56c4ea2a5996dda4b1a0579
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id	oai:doaj.org-article:162a5c2ad56c4ea2a5996dda4b1a0579
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spelling	oai:doaj.org-article:162a5c2ad56c4ea2a5996dda4b1a05792021-12-04T16:05:07ZThe Role of Subcutaneous ICDs in the Prevention of Sudden Cardiac Death10.15420/usc.2021.011758-390X1758-3896https://doaj.org/article/162a5c2ad56c4ea2a5996dda4b1a05792021-10-01T00:00:00Zhttps://www.uscjournal.com/articleindex/usc.2021.01https://doaj.org/toc/1758-3896https://doaj.org/toc/1758-390XThe ICD is an important therapy in the prevention of sudden cardiac death. The transvenous-ICD (TV-ICD) has been the primary device used for this purpose. However, mechanical and infectious complications occur with traditional TV-ICDs increasing morbidity and mortality. The subcutaneous-ICD (S-ICD) system was developed to circumvent some of these complications, but S-ICDs have their inherent set of limitations as well. These include inappropriate shock delivery, lack of bradycardia, antitachycardia or CRT pacing therapy and shorter device longevity. The S-ICD is now included in guidelines as an acceptable alternative to TV-ICDs among patients without pacing indications. This review discusses the rationale for S-ICDs by reviewing studies including the PRAETORIAN, PAS and UNTOUCHED trials.Leah A JohnAhmadreza KarimianpourMichael R GoldRadcliffe Medical MediaarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENUS Cardiology Review , Vol 15, Iss , Pp - (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Diseases of the circulatory (Cardiovascular) system RC666-701 Leah A John Ahmadreza Karimianpour Michael R Gold The Role of Subcutaneous ICDs in the Prevention of Sudden Cardiac Death
description	The ICD is an important therapy in the prevention of sudden cardiac death. The transvenous-ICD (TV-ICD) has been the primary device used for this purpose. However, mechanical and infectious complications occur with traditional TV-ICDs increasing morbidity and mortality. The subcutaneous-ICD (S-ICD) system was developed to circumvent some of these complications, but S-ICDs have their inherent set of limitations as well. These include inappropriate shock delivery, lack of bradycardia, antitachycardia or CRT pacing therapy and shorter device longevity. The S-ICD is now included in guidelines as an acceptable alternative to TV-ICDs among patients without pacing indications. This review discusses the rationale for S-ICDs by reviewing studies including the PRAETORIAN, PAS and UNTOUCHED trials.
format	article
author	Leah A John Ahmadreza Karimianpour Michael R Gold
author_facet	Leah A John Ahmadreza Karimianpour Michael R Gold
author_sort	Leah A John
title	The Role of Subcutaneous ICDs in the Prevention of Sudden Cardiac Death
title_short	The Role of Subcutaneous ICDs in the Prevention of Sudden Cardiac Death
title_full	The Role of Subcutaneous ICDs in the Prevention of Sudden Cardiac Death
title_fullStr	The Role of Subcutaneous ICDs in the Prevention of Sudden Cardiac Death
title_full_unstemmed	The Role of Subcutaneous ICDs in the Prevention of Sudden Cardiac Death
title_sort	role of subcutaneous icds in the prevention of sudden cardiac death
publisher	Radcliffe Medical Media
publishDate	2021
url	https://doaj.org/article/162a5c2ad56c4ea2a5996dda4b1a0579
work_keys_str_mv	AT leahajohn theroleofsubcutaneousicdsinthepreventionofsuddencardiacdeath AT ahmadrezakarimianpour theroleofsubcutaneousicdsinthepreventionofsuddencardiacdeath AT michaelrgold theroleofsubcutaneousicdsinthepreventionofsuddencardiacdeath AT leahajohn roleofsubcutaneousicdsinthepreventionofsuddencardiacdeath AT ahmadrezakarimianpour roleofsubcutaneousicdsinthepreventionofsuddencardiacdeath AT michaelrgold roleofsubcutaneousicdsinthepreventionofsuddencardiacdeath
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The Role of Subcutaneous ICDs in the Prevention of Sudden Cardiac Death

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