| アブストラクト | BACKGROUND: Clinical features and complications of subcutaneous implantable cardioverter-defibrillator (S-ICD) implantation for Brugada syndrome have not been well studied. METHODS: We used the Japanese Diagnosis Procedure Combination database to retrospectively investigate patients who had undergone ICD implantation between April 2016 and March 2017. We compared the characteristics and in-hospital complications of patients with Brugada syndrome implanted with S-ICD or transvenous (TV)-ICD. RESULTS: We extracted 3090 patients who received ICD implantation. Among them, we identified 278 Brugada patients. The mean age was 43 +/- 14.4 years and 262 (94%) were male. Of these 278 patients, 136 (49%) received S-ICD and 142 (51%) received TV-ICD. TV-ICD recipients had a history of atrial fibrillation more frequently compared with S-ICD recipients. The median (interquartile range) of length of hospital stay was not significantly different between patients with S-ICD and TV-ICD (13 days [10-20.5] vs 12 days [10-18], respectively). The prevalence of in-hospital complications after ICD implantation was similar between the two groups. There were no patients with cardiac tamponade, hemothorax, pneumothorax, cardiovascular event, stroke, and death following the procedure during hospitalization in either group. CONCLUSIONS: Short-term safety of S-ICD implantation may be identical to that of TV-ICD. Large prospective studies are warranted to compare the effects and long-term safety of S-ICD compared with TV-ICD. |
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| ジャーナル名 | Journal of arrhythmia |
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| 投稿日 | 2019/12/18 |
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| 投稿者 | Kawamura, Iwanari; Nakajima, Mikio; Kitamura, Takeshi; Kaszynski, Richard H; Hojo, Rintaro; Ohbe, Hiroyuki; Sasabuchi, Yusuke; Matsui, Hiroki; Fushimi, Kiyohide; Fukamizu, Seiji; Yasunaga, Hideo |
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| 組織名 | Department of Cardiology Tokyo Metropolitan Hiroo Hospital Tokyo Japan.;Emergency and Critical Care Center Tokyo Metropolitan Hiroo Hospital Tokyo Japan.;Department of Clinical Epidemiology and Health Economics School of Public Health;The University of Tokyo Tokyo Japan.;Data Science Center Jichi Medical University Tochigi Japan.;Department of Health Policy and Informatics Tokyo Medical and Dental University;Graduate School of Medicine Tokyo Japan. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/31844476/ |
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