News | May 14, 2013

WEARIT-II Registry Demonstrates Wearable Defibrillator Safety, Efficacy

Wearable defibrillators can help decrease the number of patients requiring an implantable device

May 14, 2013 – Wearable cardioverter defibrillators (WCD) can be an effective therapy option for patients with a transient or undefined arrhythmic risk, according to the WEARIT-II Registry, the largest prospective study to track patients with the device in a real-world setting. The new findings show that the Zoll LifeVest WCD can serve as a bridging therapy and help avoid unnecessary permanent implantation of defibrillators in patients who ultimately may not need them. Findings were released at Heart Rhythm 2013, the Heart Rhythm Society’s 34th Annual Scientific Sessions.

WCDs provide continuous arrhythmia monitoring and automatic defibrillation within a minute of detection of a potentially fatal heart rhythm. These devices are worn under the patient’s clothes and have a response button that the patient can use during a cardiac event if a life-saving shock is not needed. The device can be part of an arrhythmia management strategy for a variety of patients at risk of sudden cardiac arrest and ultimately help determine if a patient needs permanent therapy through an implantable cardioverter defibrillator (ICD).

“While ICDs provide critical life-saving treatment, not all patients with an ICD receive appropriate therapy from their device,” said lead author Ilan Goldenberg, M.D., University of Rochester Medical Center. “A wearable device can provide the same level of protection without the need for an immediate invasive procedure, which allows a more reliable risk assessment and the patient’s cardiac function to improve before a decision to implant a defibrillator is made.”

The WEARIT-II study reviewed data from 882 patients between August 2011 and April 2013.

The majority of patients (87 percent) presented with an acquired heart disease such as dilated cardiomyopathy, while 13 percent of patients presented with inherited arrhythmias. Patients presented with a mean left ventricular ejection fraction (LVEF) of 25 percent and wore the WCD for an average of 81 days. Overall, therapy compliance was high with an average daily use of 21 hours each day.

A total number of 70 sustained ventricular tachyarrhythmic events occurred in 21 patients. Of these events, 24 percent were treated with appropriate shocks from the device, and 76 percent terminated spontaneously because patients intentionally withheld shock therapy with a response button on the wearable device, thereby preventing unnecessary shocks from being delivered. The rate of inappropriate WCD therapy and death were low, 0.3 percent and 0.5 percent respectively. 

The study also found that patients with inherited arrhythmias had a higher rate of arrhythmic events compared to patients that had acquired heart disease. In patients with acquired heart disease, those with ischemic cardiomyopathy had significantly higher rates of arrhythmic events including sustained VTs, NSVTs, and atrial fibrillation.

Upon termination of WCD use, LVEF was found to improve in 41 percent of patients to the point that an ICD was no longer indicated, whereas only 42 percent of the patients required permanent implantation of an ICD. Therefore, without the WCD risk assessment strategy, many patients would be more likely to receive an unnecessary ICD. The WEARIT-II United States Registry is currently extending to Europe and Israel.

For more information: www.HRSonline.org

Related Content

Corindus Announces First Patient Enrolled in PRECISION GRX Registry
News | Robotic Systems| September 18, 2017
September 18, 2017 — Corindus Vascular Robotics Inc.
Two-Year ILLUMENATE Trial Data Demonstrate Efficacy of Stellarex Drug-Coated Balloon
News | Drug-Eluting Balloons| September 18, 2017
Philips announced the two-year results from the ILLUMENATE European randomized clinical trial (EU RCT) demonstrating...
Sentinel Cerebral Protection System Significantly Reduces Stroke and Mortality in TAVR
News | Embolic Protection Devices| September 18, 2017
September 18, 2017 – Claret Medical announced publication of a new study in the...
Fysicon Receives FDA Approval for QMAPP Hemodynamic Monitoring System
Technology | Hemodynamic Monitoring Systems| September 18, 2017
Fysicon announced that it has been granted 510(k) clearance by the U.S. Food and Drug Administration (FDA) for its...
Marijuana Associated With Three-Fold Risk of Death From Hypertension
News | Hypertension| September 14, 2017
Marijuana use is associated with a three-fold risk of death from hypertension, according to research published recently...
Peter Schneider, M.D. presents late breaking clinical trial results at VIVA 17 in Las Vegas. Panelists (l to r) Krishna Rocha-Singh, M.D., Sean Lyden, M.D., John Kaufman, M.D., Donna Buckley, M.D.

Peter Schneider, M.D. presents late breaking clinical trial results at VIVA 17 in Las Vegas. Panelists (l to r) Krishna Rocha-Singh, M.D., Sean Lyden, M.D., John Kaufman, M.D., Donna Buckley, M.D.

Feature | Cath Lab| September 14, 2017
September 14, 2017 — Here are quick summaries for all the key late-breaking vascular and endovascular clinical trials
Medtronic Announces Japanese Regulatory Approval for In.Pact Admiral Drug-Coated Balloon
News | Drug-Eluting Balloons| September 13, 2017
Medtronic plc announced that the In.Pact Admiral Drug-Coated Balloon (DCB) received approval from the Japanese Ministry...
PQ Bypass Reports Positive Results for Detour System in Patients With Long Femoropopliteal Blockages
News | Peripheral Artery Disease (PAD)| September 13, 2017
A subset analysis of the DETOUR I clinical trial showed promising safety and effectiveness results of PQ Bypass’ Detour...
News | Cardiac Diagnostics| September 12, 2017
Contracting shingles, a reactivation of the chickenpox virus, increases a person’s risk of stroke and heart attack,...
Vascular screening for abdominal aortic aneurysm, peripheral artery disease and hypertension during the VIVA Study in Denmark

Vascular screening for abdominal aortic aneurysm, peripheral artery disease and hypertension during the VIVA Study. Photo credit: Lisbeth Hasager Justesen, Viborg Hospital.

News | Cardiac Diagnostics| September 12, 2017
September 12, 2017 — A new screening program for vascular disease saves one life for every 169 men assessed, accordin
Overlay Init