PMID- 30389367 OWN - NLM STAT- MEDLINE DCOM- 20190116 LR - 20190116 IS - 1444-2892 (Electronic) IS - 1443-9506 (Linking) VI - 28 IP - 1 DP - 2019 Jan TI - Current Device Therapies for Sudden Cardiac Death Prevention - the ICD, Subcutaneous ICD and Wearable ICD. PG - 65-75 LID - S1443-9506(18)31920-6 [pii] LID - 10.1016/j.hlc.2018.09.011 [doi] AB - Defibrillator technology for sudden cardiac death (SCD) prevention now includes the transvenous implantable cardiac defibrillator (ICD), subcutaneous ICD (S-ICD) and wearable cardioverter defibrillator (WCD). ICD use improves survival in patients who survived previous sudden cardiac arrest (SCA) due to ventricular tachycardia (VT)/ventricular fibrillation (VF), as well as in patients who experienced haemodynamically significant VT. It is also currently indicated for primary prevention in ischaemic/non-ischaemic cardiomyopathies, certain congenital heart disease conditions and inherited channelopathies. In this review article, we hope to present an updated review on ICD use for SCD prevention, with a focus on contemporary issues affecting ICD selection. These include: the role of primary prevention ICD in patients with non-ischaemic cardiomyopathy (NICM) in light of the 2016 DANISH (Danish Study to Assess the Efficacy of ICDs in Patients with Non-Ischemic Systolic Heart Failure on Mortality) trial; the role of defibrillator component (CRT-D) in patients receiving cardiac resynchronisation therapy (CRT-P); and the emerging role of cardiac magnetic resonance imaging (cMRI) in particular, the presence of late gadolinium enhancement (LGE), as an important SCD risk predictor. The current use of S-ICD and WCD, including clinical indications, evidence for efficacy and limitations, will also be discussed. CI - Copyright (c) 2018 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved. FAU - Chieng, David AU - Chieng D AD - Department of Cardiology, Fiona Stanley Hospital, Perth, WA, Australia; Department of Cardiology, Royal Perth Hospital, Perth, WA, Australia. Electronic address: david.chieng@health.wa.gov.au. FAU - Paul, Vince AU - Paul V AD - Department of Cardiology, Fiona Stanley Hospital, Perth, WA, Australia. FAU - Denman, Russell AU - Denman R AD - Department of Cardiology, Prince Charles Hospital, Brisbane, Qld, Australia. LA - eng PT - Journal Article PT - Systematic Review DEP - 20181011 PL - Australia TA - Heart Lung Circ JT - Heart, lung & circulation JID - 100963739 SB - IM MH - Death, Sudden, Cardiac/*prevention & control MH - *Defibrillators, Implantable MH - Electric Countershock/*instrumentation MH - Equipment Design MH - Humans MH - *Wearable Electronic Devices OTO - NOTNLM OT - Cardiac MRI OT - Cardiac Resynchronisation Therapy OT - Implantable cardiac defibrillator OT - Subcutaneous-ICD OT - Sudden cardiac death OT - Wearable ICD EDAT- 2018/11/06 06:00 MHDA- 2019/01/17 06:00 CRDT- 2018/11/04 06:00 PHST- 2018/08/22 00:00 [received] PHST- 2018/09/23 00:00 [accepted] PHST- 2018/11/06 06:00 [pubmed] PHST- 2019/01/17 06:00 [medline] PHST- 2018/11/04 06:00 [entrez] AID - S1443-9506(18)31920-6 [pii] AID - 10.1016/j.hlc.2018.09.011 [doi] PST - ppublish SO - Heart Lung Circ. 2019 Jan;28(1):65-75. doi: 10.1016/j.hlc.2018.09.011. Epub 2018 Oct 11.