Conventional and right‐sided screening for subcutaneous ICD in a population with congenital heart disease at high risk of sudden cardiac death

Information regarding suitability for subcutaneous defibrillator (sICD) implantation in tetralogy of Fallot (ToF) and systemic right ventricle is scarce and needs to be further explored. The main objective of our study was to determine the proportion of patients with ToF and systemic right ventricle eligible for sICD with both, standard and right‐sided screening methods. Secondary objectives were: (i) to study sICD eligibility specifically in patients at high risk of sudden cardiac death, (ii) to identify independent predictors for sICD eligibility, and (iii) to compare the proportion of eligible patients in a nonselected ICD population.

[1]  A. Salvador,et al.  Value of the Electrocardiogram as a Predictor of Right Ventricular Dysfunction in Patients With Chronic Right Ventricular Volume Overload. , 2015, Revista espanola de cardiologia.

[2]  Paul Khairy,et al.  Transvenous Pacing Leads and Systemic Thromboemboli in Patients With Intracardiac Shunts: A Multicenter Study , 2006, Circulation.

[3]  Joseph D. Kay,et al.  Arrhythmia Burden in Adults With Surgically Repaired Tetralogy of Fallot: A Multi-Institutional Study , 2010, Circulation.

[4]  P. Khairy,et al.  Implantable cardioverter-defibrillators in congenital heart disease , 2014, Current opinion in cardiology.

[5]  David G. Wilson,et al.  Potential eligibility of congenital heart disease patients for subcutaneous implantable cardioverter-defibrillator based on surface electrocardiogram mapping. , 2015, Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology.

[6]  C. Autore,et al.  Eligibility for the Subcutaneous Implantable Cardioverter‐Defibrillator in Patients With Hypertrophic Cardiomyopathy , 2015, Journal of cardiovascular electrophysiology.

[7]  P. Alonso,et al.  Valor del electrocardiograma como predictor de disfunción ventricular derecha en pacientes con sobrecarga crónica de volumen del ventrículo derecho , 2015 .

[8]  A. Wilde,et al.  Which Patients Are Not Suitable for a Subcutaneous ICD: Incidence and Predictors of Failed QRS‐T‐Wave Morphology Screening , 2014, Journal of cardiovascular electrophysiology.

[9]  S. Siu,et al.  Mode of death in adults with congenital heart disease. , 2000, The American journal of cardiology.

[10]  M. Silka,et al.  A population-based prospective evaluation of risk of sudden cardiac death after operation for common congenital heart defects. , 1998, Journal of the American College of Cardiology.

[11]  Hans Eiskjær,et al.  Defibrillator Implantation in Patients with Nonischemic Systolic Heart Failure. , 2016, The New England journal of medicine.

[12]  J. Millet,et al.  The Role of Conventional and Right‐Sided ECG Screening for Subcutaneous ICD in a Tetralogy of Fallot Population , 2017, Pacing and clinical electrophysiology : PACE.

[13]  A. Moss,et al.  Analysis of mortality events in the Multicenter Automatic Defibrillator Implantation Trial (MADIT-II). , 2004, Journal of the American College of Cardiology.

[14]  S. Siu,et al.  Risk factors for arrhythmia and sudden cardiac death late after repair of tetralogy of Fallot: a multicentre study , 2000, The Lancet.

[15]  P. Lambiase,et al.  Worldwide experience with a totally subcutaneous implantable defibrillator: early results from the EFFORTLESS S-ICD Registry , 2014, European heart journal.

[16]  J. López-Sendón,et al.  Incidence and predictors of sudden cardiac arrest in adults with congenital heart defects repaired before adult life. , 2012, The American journal of cardiology.

[17]  I. V. Van Gelder,et al.  Sudden Cardiac Death in Adult Congenital Heart Disease , 1996, Circulation.

[18]  David G. Wilson,et al.  Left and Right Parasternal Sensing for the S‐ICD in Adult Congenital Heart Disease Patients and Normal Controls , 2016, Pacing and clinical electrophysiology : PACE.

[19]  A. Wilde,et al.  Inappropriate subcutaneous implantable cardioverter-defibrillator shocks due to T-wave oversensing can be prevented: implications for management. , 2014, Heart rhythm.

[20]  J. Prutkin,et al.  Concomitant Use of the Subcutaneous Implantable Cardioverter Defibrillator and a Permanent Pacemaker , 2016, Pacing and clinical electrophysiology : PACE.

[21]  P. Friedman,et al.  Right Parasternal Lead Placement Increases Eligibility for Subcutaneous Implantable Cardioverter Defibrillator Therapy in Adults With Congenital Heart Disease. , 2016, Circulation journal : official journal of the Japanese Circulation Society.

[22]  K. Dimopoulos,et al.  Left Ventricular Longitudinal Function Predicts Life-Threatening Ventricular Arrhythmia and Death in Adults With Repaired Tetralogy of Fallot , 2012, Circulation.

[23]  N. Hawkins,et al.  How many patients fulfil the surface electrocardiogram criteria for subcutaneous implantable cardioverter-defibrillator implantation? , 2014, Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology.

[24]  J. Stockman Causes of Late Deaths After Pediatric Cardiac Surgery: A Population-Based Study , 2009 .

[25]  Erick A. Perez Alday,et al.  The utility of routine clinical 12-lead ECG in assessing eligibility for subcutaneous implantable cardioverter defibrillator , 2018, Comput. Biol. Medicine.