Sudden Cardiac Arrest in Hemodialysis Patients with Wearable Cardioverter Defibrillator

摘要: Background The survival outcome following a sudden cardiac arrest (SCA) in hemodialysis (HD) patients is poor regardless of whether an event takes place or out dialysis center. The characteristics SCA and post-SCA with HD using wearable cardioverter defibrillator (WCD) are unknown. Methods All who were prescribed WCD between 2004 2011 experienced at least one included this study. Demographics, clinical background, events identified from the manufacturer's database. An was defined as all sustained ventricular tachycardia/fibrillation (VT/VF) asystole occurring within 24 hours index arrhythmia episode. social security death used to determine mortality after use. Results A total 75 (mean age = 62.9 ± 11.7 years, female 37.3%) 84 (119 episodes) while wearing WCD. Sixty six (78.6%) due VT/VF 18 (21.4%) asystole. Most episodes occurred 09:00 10:00 (RR 2.82, 95% CI [1.05, 7.62], P < 0.0001), followed by 13:00–14:00 time interval 2.22, [0.79, 6.21], 0.006). Acute 24-hour 70.7% for events; 30-day 1-year 50.7% 31.4%, respectively. Women had better than men (HR 2.41, [1.09, 5.36], 0.03). Conclusions The use associated improved when compared historical data.