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Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
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0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
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L. Cardiovascular Pharmacology
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01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
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Subcutaneous implantable cardioverter-defibrillator: Experience from a peripheral tertiary hospital center
Session:
Posters 3 - Écran 8 - Arritmologia
Speaker:
Luís Oliveira
Congress:
CPC 2019
Topic:
C. Arrhythmias and Device Therapy
Theme:
09. Device Therapy
Subtheme:
09.2 Implantable Cardioverter / Defibrillator
Session Type:
Posters
FP Number:
---
Authors:
Luís Resendes De Oliveira; Cátia Serena; António Xavier Fontes; Sara Moura Ferreira; Carla Almeida; Carina Machado; Raquel Dourado; Emília Santos; Nuno Pelicano; António Pacheco; Anabela Tavares; Fernando Melo; Dinis Martins
Abstract
<p><strong>Background:</strong> Conventional transvenous implantable cardioverter-defibrillators (ICD) have proved to be effective in preventing sudden cardiac death. Subcutaneous ICDs (S-ICD) represent a new less-invasive approach, that minimize intravascular lead complications. There is only one cohort of real word data from an international patient S-ICD population, the EFFORTLESS S-ICD registry.</p> <p><strong>Purpose:</strong> This study aims to describe the population of patients with an implanted S-ICD from a tertiary hospital center, and compare them with the EFFORTLESS S-ICD registry.</p> <p><strong>Methods: </strong>Local registry designed to collect clinical and patient outcome related data from S-ICD implanted in patients since December 2015. </p> <p><strong>Results:</strong> The total population of 13 patients, from which 11 were enrolled retrospectively, had a mean follow-up of 590 days (range 26 - 1053 days). Our population has a mean age of 48,5 ± 3,66 years and 84,6% are males. Main indication for S-ICD implantation was primary prevention (76,9%), in a population with a mean left ventricle ejection fraction of 34,1 ± 4,6%. Primary diagnosis for 46,2% of the patients was ischemic cardiomyopathy. The only two baseline characteristics that differed from the population enrolled in the EFFORTLESS S-ICD registry were the prevalence of heart failure (84,6% <em>vs</em> 24%; <em>p</em><0,01) and diabetes mellitus(38,5% <em>vs</em> 12%; <em>p</em>=0,014) which were higher in our population.</p> <p>We report two patients that developed small hematomas in the peri procedure. We also report an unusual case of hypersensitivity to the S-ICD material which led to the replacement of the whole system by a gold-coated conventional ICD. No inappropriate therapies were registered in the follow-up. Only 1 patient had therapies delivered in relation with 4 episodes of ventricular tachycardia/fibrillation.</p> <p><strong>Conclusions: </strong>S-ICD implanted in our population was similar to the EFFORTLESS S-ICD registry and revealed to have a good performance in preventing sudden cardiac death, with low incidence of complications and inappropriate therapies.</p>
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