Arrhythmias & electrophysiology

A Patch Wearable Cardioverter-Defibrillator for Patients at Risk of Sudden Cardiac Arrest

J Am Coll CardiolPublished Prospective single-arm study

Authors' conclusion

The novel P-WCD is a safe and effective WCD with high patient compliance.

Study context

Population
Patients at sudden cardiac arrest (SCA) risk due to VT/VF who were not candidates for or refused an implantable defibrillator290 with device data
Participants
305 patients
Outcome
Safety: <15% patients with clinically significant cutaneous adverse device effects; effectiveness: <2 inappropriate shocks/100 patient-months
Methodological details30 US sites
  • 30 US sites

Main finding

As reported in the abstract

Clinically significant cutaneous adverse device effect rate

2.30%

upper 1-sided 98% CI: 4.80

Inappropriate shock rate

0.36/100 patient-months

upper 1-sided 98% CI: 1.53

Observational data: associations, not effects.

Secondary outcomes

Successful VT/VF conversion

Shocks in 9 patients
11
Shocks adjudicated appropriate
9
Appropriate shocks successful with a single shock
8 of 9

Wear time compliance (target >14.1 h/d)

Median wear time compliance
23.5 (20.7-23.9) h/d

Device-related deaths or serious adverse events

Device-related deaths or serious adverse events
0

Safety

Clinically significant cutaneous adverse device effects

Rate
2.30% (upper 1-sided 98% CI: 4.80)
Severe
0

Original publication

A Patch Wearable Cardioverter-Defibrillator for Patients at Risk of Sudden Cardiac Arrest. J Am Coll Cardiol. Published 6 August 2024. doi:10.1016/j.jacc.2024.04.063

Composed by AI from the published abstract and checked against it. How Briefs are made →

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