{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,28]],"date-time":"2025-05-28T21:49:16Z","timestamp":1748468956573},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2018,9,25]],"date-time":"2018-09-25T00:00:00Z","timestamp":1537833600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background and Purpose<\/jats:title>\n                  <jats:p>Sudden cardiac death causes an estimated 200,000 to 450,000 deaths per year in the USA. Although permanent implantation of an internal cardiac defibrillator offers a preventive intervention, the required assessment period for determining need creates vulnerability for patients who will benefit from this protection. The use of a wearable cardioverter defibrillator (WCD) for interim protection is rapidly increasing. There are no rehabilitation guidelines for patients wearing a WCD. This article reviews the WCD\u2019s purpose, considers implications and current challenges for use during rehabilitation, and illustrates this with a case report.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case Description<\/jats:title>\n                  <jats:p>A 51-year-old male with coronary artery disease following prolonged hospitalization was fitted with a WCD during evaluation for an internal cardiac defibrillator. During inpatient rehabilitation, the therapy plan required unique considerations because of the presence of the WCD.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Outcomes<\/jats:title>\n                  <jats:p>Recapitulating the patient's rehabilitation course illustrates the WCD\u2019s challenges, the benefits to exercise progression, and the safety measures used. The patient gained functional independence, with uninterrupted care, in the presence of the WCD.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Knowledgeable clinicians, attention to safety, and sufficient patient\/caregiver education are essential for uninterrupted and successful rehabilitative care for WCD-wearing patients. Because of increasing clinical prevalence of WCDs in rehabilitation, it is critically important to share clinical experience and eventually conduct a systematic assessment.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ptj\/pzy106","type":"journal-article","created":{"date-parts":[[2018,8,31]],"date-time":"2018-08-31T03:35:19Z","timestamp":1535686519000},"page":"973-979","source":"Crossref","is-referenced-by-count":1,"title":["The Wearable Cardioverter Defibrillator: A Case Study Illustrating Physical Therapy Implications and Management in the Inpatient Setting"],"prefix":"10.1093","volume":"98","author":[{"given":"Lauren","family":"Perillo","sequence":"first","affiliation":[{"name":"Department of Physical Therapy and RUSK Rehabilitation, NYU Langone Health, New York, NY 10016 (USA)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Greg","family":"Sweeney","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy and RUSK Rehabilitation, NYU Langone Health"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2018,9,25]]},"reference":[{"key":"2023011808001487500_bib1","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1161\/CIR.0000000000000056","article-title":"HRS\/ACC\/AHA expert consensus statement on the use of implantable cardioverter-defibrillator therapy in patients who are not included or not well represented in clinical trials","volume":"130","author":"Kusumoto","year":"2014","journal-title":"Circulation"},{"key":"2023011808001487500_bib2","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1016\/j.resuscitation.2008.09.017","article-title":"Post-cardiac arrest syndrome: Epidemiology, pathophysiology, treatment and prognostication. 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