{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T06:35:39Z","timestamp":1790058939897,"version":"4.0.1"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circulation"],"published-print":{"date-parts":[[2016,8,30]]},"abstract":"<jats:sec>\n            <jats:title>Background:<\/jats:title>\n            <jats:p>This study evaluated the wearable cardioverter-defibrillator (WCD) for use and effectiveness in preventing sudden death caused by ventricular tachyarrhythmia or fibrillation.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>From April 2010 through October 2013, 6043 German WCD patients (median age, 57 years; male, 78.5%) were recruited from 404 German centers. Deidentified German patient data were used for a retrospective, nonrandomized analysis.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Ninety-four patients (1.6%) were treated by the WCD in response to ventricular tachyarrhythmia\/fibrillation. The incidence rate was 8.4 (95% confidence interval, 6.8\u201310.2) per 100 patient-years. Patients with implantable cardioverter-defibrillator explantation had an incidence rate of 19.3 (95% confidence interval, 12.2\u201329.0) per 100 patient-years. In contrast, an incidence rate of 8.2 (95% confidence interval, 6.4\u201310.3) was observed in the remaining cardiac diagnosis groups, including dilated cardiomyopathy, myocarditis, and ischemic and nonischemic cardiomyopathies. Among 120 shocked patients, 112 (93%) survived 24 hours after treatment, whereas asystole was observed in 2 patients (0.03%) with 1 resulting death.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>ConclusionS:<\/jats:title>\n            <jats:p>This large cohort represents the first nationwide evaluation of WCD use in patients outside the US healthcare system and confirms the overall value of the WCD in German treatment pathways.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/circulationaha.115.019124","type":"journal-article","created":{"date-parts":[[2016,7,26]],"date-time":"2016-07-26T02:48:49Z","timestamp":1469501329000},"page":"635-643","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":106,"title":["Experience With the Wearable Cardioverter-Defibrillator in Patients at High Risk for Sudden Cardiac Death"],"prefix":"10.1161","volume":"134","author":[{"given":"Nadine K.","family":"W\u00e4\u00dfnig","sequence":"first","affiliation":[{"name":"From Technische Universit\u00e4t Dresden, Heart Center Dresden, University Hospital, Department of Internal Medicine and Cardiology, Dresden, Germany (N.W., M.G., S.Q., C.P., F.R., R.S., U.S.); and ZOLL, Pittsburgh, PA (S.S., S.R.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"G\u00fcnther","sequence":"additional","affiliation":[{"name":"From Technische Universit\u00e4t Dresden, Heart Center Dresden, University Hospital, Department of Internal Medicine and Cardiology, Dresden, Germany (N.W., M.G., S.Q., C.P., F.R., R.S., U.S.); and ZOLL, Pittsburgh, PA (S.S., S.R.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvio","family":"Quick","sequence":"additional","affiliation":[{"name":"From Technische Universit\u00e4t Dresden, Heart Center Dresden, University Hospital, Department of Internal Medicine and Cardiology, Dresden, Germany (N.W., M.G., S.Q., C.P., F.R., R.S., U.S.); and ZOLL, Pittsburgh, PA (S.S., S.R.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Pfluecke","sequence":"additional","affiliation":[{"name":"From Technische Universit\u00e4t Dresden, Heart Center Dresden, University Hospital, Department of Internal Medicine and Cardiology, Dresden, Germany (N.W., M.G., S.Q., C.P., F.R., R.S., U.S.); and ZOLL, Pittsburgh, PA (S.S., S.R.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabian","family":"Rottst\u00e4dt","sequence":"additional","affiliation":[{"name":"From Technische Universit\u00e4t Dresden, Heart Center Dresden, University Hospital, Department of Internal Medicine and Cardiology, Dresden, Germany (N.W., M.G., S.Q., C.P., F.R., R.S., U.S.); and ZOLL, Pittsburgh, PA (S.S., S.R.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven J.","family":"Szymkiewicz","sequence":"additional","affiliation":[{"name":"From Technische Universit\u00e4t Dresden, Heart Center Dresden, University Hospital, Department of Internal Medicine and Cardiology, Dresden, Germany (N.W., M.G., S.Q., C.P., F.R., R.S., U.S.); and ZOLL, Pittsburgh, PA (S.S., S.R.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Ringquist","sequence":"additional","affiliation":[{"name":"From Technische Universit\u00e4t Dresden, Heart Center Dresden, University Hospital, Department of Internal Medicine and Cardiology, Dresden, Germany (N.W., M.G., S.Q., C.P., F.R., R.S., U.S.); and ZOLL, Pittsburgh, PA (S.S., S.R.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth H.","family":"Strasser","sequence":"additional","affiliation":[{"name":"From Technische Universit\u00e4t Dresden, Heart Center Dresden, University Hospital, Department of Internal Medicine and Cardiology, Dresden, Germany (N.W., M.G., S.Q., C.P., F.R., R.S., U.S.); and ZOLL, Pittsburgh, PA (S.S., S.R.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uwe","family":"Speiser","sequence":"additional","affiliation":[{"name":"From Technische Universit\u00e4t Dresden, Heart Center Dresden, University Hospital, Department of Internal Medicine and Cardiology, Dresden, Germany (N.W., M.G., S.Q., C.P., F.R., R.S., U.S.); and ZOLL, Pittsburgh, PA (S.S., S.R.)."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2004.00378.x"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1460-9592.2003.00311.x"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199612263352601"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa013474"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa043399"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2012.06.009"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2007.08.010"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCUALTIONAHA.108.189742"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa041489"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.112.973552"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/eht167"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.1392"},{"key":"e_1_3_3_14_2","volume-title":"R: A Language and Environment for Statistical Computing","author":"R Core Team.","year":"2014","unstructured":"R Core Team. 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