日本可穿戴式心律转复除颤器的使用现状

IF 2.2 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Journal of Arrhythmia Pub Date : 2024-07-14 DOI:10.1002/joa3.13113

Reina Tonegawa-Kuji MD, PhD, Taku Nishida MD, PhD, Yoko Sumita, Yoshihiro Miyamoto MD, PhD, Koshiro Kanaoka MD, PhD

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摘要

我们利用日本全国范围的理赔数据库，评估了使用可穿戴式心血管除颤器（WCD）患者的特征以及影响后续植入式心律转复除颤器（ICD）的因素。在 1049 个病例中，有心肺骤停（CPA）或室性心律失常、心肌病或设备相关问题的患者更有可能需要永久性 ICD，而女性患者的可能性较低。这些研究结果为了解日本 WCD 的使用现状提供了参考。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Current status of wearable cardioverter-defibrillator use in Japan

Background

The current status of wearable cardiovascular defibrillators (WCD) use in Japan is unclear.

Methods

Using a nationwide claims database of Japan, we assessed characteristics of patients using WCD and factors influencing subsequent implantable cardioverter-defibrillator (ICD) implantation.

Results

In 1049 cases, those with prior cardiopulmonary arrest (CPA) or ventricular arrhythmia, cardiomyopathy, or device-related issues were more likely to require permanent ICDs, whereas females were less likely.

Conclusions

Prior CPA or fatal arrhythmia, underlying cardiomyopathy, or device-related issues were associated with future permanent ICD implantation. These findings offer insights into the current status of WCD use in Japan.

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