Long-term use of the wearable cardioverter defibrillator in patients with explanted ICD

Kaspar, Georgy; Sanam, Kumar; Gholkar, Gunjan; Bianco, Nicole R.; Szymkiewicz, Steven J; Shah, Dipak

doi:10.1016/j.ijcard.2018.08.017

Cited by 15 publications

(8 citation statements)

References 23 publications

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“…This device shows similar accuracy in monitoring arrhythmia, atrioventricular block, and QRS duration extension to standard 12-lead ECG recordings [48]. Kaspar et al [49] found that the use of a wearable cardioverter-defibrillator protected patients from sudden cardiac arrest when they were treated in nonhospital settings until reimplantation of an implantable cardioverter-defibrillator.…”

Section: Cardiovascular Diseasementioning

confidence: 98%

Wearable Health Devices in Health Care: Narrative Systematic Review (Preprint)

Lu¹,

Zhang²,

Xie³

et al. 2020

Preprint

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UNSTRUCTURED With the development of science and technology, wearable devices have been widely used in the field of health care. In this article, we summarize the characteristics, key technologies, and classification of wearable devices, as well as their application in health and safety monitoring, chronic disease management, diagnosis and treatment of diseases, and rehabilitation. We analyze the shortcomings of wearable devices to highlight development trends and provide a useful reference for the development of wearable devices by collecting data on the application and investigation of wearable devices in the medical field.

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Section: Cardiovascular Diseasementioning

confidence: 98%

Wearable Health Devices in Health Care: Narrative Systematic Review (Preprint)

Lu¹,

Zhang²,

Xie³

et al. 2020

Preprint

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“…At present, research is mainly based on the major problems and challenges of chronic disease prevention and treatment. The data of patients can be collected through wearable devices and shared to medical institutions reliably with the help of blockchain privacy protection and reliable data backtracking [27] . Medical institutions can handle a large amount of chronic disease information with the help of AI technology.…”

Section: Integration Of Ai Blockchain and Wearable Technology For The Mana-gement Of Chronic Diseasesmentioning

confidence: 99%

“…In recent years, cardiovascular disease has become a serious and harmful problem that threatens global health and affects human life [27,28] . For example, hypertension is a chronic cardiovascular disease with a high incidence that can lead to stroke, heart failure, renal failure, and other severe diseases.…”

Section: Cardiovascular Diseasesmentioning

confidence: 99%

“…1 The technical process of chronic disease management based on AI and blockchain technology logistic regression, and support vector machine classification model algorithms to respectively build a risk model for chronic and critical illness events caused by cardiovascular function loss. Because the majority of 12-lead electrocardiogram (ECG) machines can provide analysis and enable the provisional diagnosis of myocardial infarction and cardiac arrhythmia, the AI algorithm for detecting ST elevation is commonly available [27,28] . In a study by Kaspar et al [27] , they found that wearable cardioverter defibrillators with AI technology could protect patients from sudden cardiac arrest during nonhospitalization until the implantable cardioverter-defibrillator was re-implanted.…”

Section: Cardiovascular Diseasesmentioning

confidence: 99%

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Integration of Artificial Intelligence, Blockchain, and Wearable Technology for Chronic Disease Management: A New Paradigm in Smart Healthcare

Xie

Gao

et al. 2021

CURR MED SCI

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Chronic diseases are a growing concern worldwide, with nearly 25% of adults suffering from one or more chronic health conditions, thus placing a heavy burden on individuals, families, and healthcare systems. With the advent of the “Smart Healthcare” era, a series of cutting-edge technologies has brought new experiences to the management of chronic diseases. Among them, smart wearable technology not only helps people pursue a healthier lifestyle but also provides a continuous flow of healthcare data for disease diagnosis and treatment by actively recording physiological parameters and tracking the metabolic state. However, how to organize and analyze the data to achieve the ultimate goal of improving chronic disease management, in terms of quality of life, patient outcomes, and privacy protection, is an urgent issue that needs to be addressed. Artificial intelligence (AI) can provide intelligent suggestions by analyzing a patient’s physiological data from wearable devices for the diagnosis and treatment of diseases. In addition, blockchain can improve healthcare services by authorizing decentralized data sharing, protecting the privacy of users, providing data empowerment, and ensuring the reliability of data management. Integrating AI, blockchain, and wearable technology could optimize the existing chronic disease management models, with a shift from a hospital-centered model to a patient-centered one. In this paper, we conceptually demonstrate a patient-centric technical framework based on AI, blockchain, and wearable technology and further explore the application of these integrated technologies in chronic disease management. Finally, the shortcomings of this new paradigm and future research directions are also discussed.

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“…This retrospective study noted that 334 (4%) patients experienced VT/VF events, with 81% of patients receiving device re-implantation, demonstrating that the WCD is an effectively protective bridge during the antibiotic therapy period. Even longer term WCD utilization of ≥1 year after ICD explant has been reported and continues to be an effective alternative 38 . A costeffective analysis of this strategy was economically favorable if the WCD was used for at least 2 weeks; the device was a superior financial option compared to continued hospital stay or discharge to a skilled nursing facility, with the added benefit of continued protection against SCD 39 .…”

Section: Clinical Use Of Wcd Therapymentioning

confidence: 99%

The wearable cardioverter-defibrillator vest: Indications and ongoing questions

Sandhu

Rajyaguru

Cheung

et al. 2019

Progress in Cardiovascular Diseases

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Multiple clinical trials have demonstrated the efficacy of implantable cardioverter-defibrillators (ICDs) for the prevention of sudden cardiac death (SCD) among specific high-risk populations. However, it remains unclear how to optimally treat those patients who are at elevated risk of cardiac arrest but are not among the presently identified groups proven to benefit from an ICD, are unable to tolerate surgical device implantation, or refuse invasive therapies. The wearable cardioverter-defibrillator (WCD) is an alternative antiarrhythmic device that provides continuous cardiac monitoring and defibrillation capabilities through a noninvasive, electrode-based system. The WCD has been shown to be highly effective at restoration of sinus rhythm in patients with a ventricular tachyarrhythmia, and one randomized trial using the WCD in patients with recent myocardial infarction at elevated risk for arrhythmic death reported a decrease in overall mortality despite no SCD mortality benefit. The current clinical indications for WCD use are varied and continue to evolve as experience with this technology increases.

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Long-term use of the wearable cardioverter defibrillator in patients with explanted ICD

Cited by 15 publications

References 23 publications

Wearable Health Devices in Health Care: Narrative Systematic Review (Preprint)

Wearable Health Devices in Health Care: Narrative Systematic Review (Preprint)

Integration of Artificial Intelligence, Blockchain, and Wearable Technology for Chronic Disease Management: A New Paradigm in Smart Healthcare

The wearable cardioverter-defibrillator vest: Indications and ongoing questions

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