• Eur. J. Intern. Med. · Jul 2019

    Review

    The subcutaneous implantable cardioverter-defibrillator: Current trends in clinical practice between guidelines and technology progress.

    • Carmen Adduci, Hussam Ali, Pietro Francia, Riccardo Mantovani, Francesca Palano, Pierpaolo Lupo, Sara Foresti, Guido De Ambroggi, and Riccardo Cappato.
    • Department of Clinical and Molecular Medicine, Sapienza University, St Andrea Hospital, Rome, Italy. Electronic address: carmen.adduci@uniroma1.it.
    • Eur. J. Intern. Med. 2019 Jul 1; 65: 6-11.

    AbstractThe subcutaneous implantable cardioverter defibrillator (S-ICD) is a valuable alternative to the conventional trans-venous ICD (TV-ICD) for the prevention of sudden cardiac death (SCD). Prospective registries showed that the S-ICD is safe and effective in treating ventricular tachyarrhythmias in high-risk patients without pacing indications. While in earlier studies patients implanted with S-ICDs were young and mostly affected by channelopathies, contemporary S-ICD cohorts include patients with severely impaired left ventricular function and significant comorbidities. This review focuses on S-ICD evidence-based use and highlights current gaps between guidelines recommendations and real-world clinical practice.Copyright © 2019. Published by Elsevier B.V.

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