Table 2.
Summary of studies assessing postshock pacing in ICD, S-ICD, and WCD patients.
| Authors | Country, year | No. of patients | Studied group | Study conclusions |
|---|---|---|---|---|
| Budeus et al. [40] | 314 | PSP analyzed in S-ICD patients undergoing DFT (induced arrhythmias in general anesthesia) | PSP required and appropriately initiated in 25.2% patients following the shock. No episodes of induced arrhythmias or any other harm associated with PSP were detected | |
| Zoll et al. [7] | Italy, 2017 | 1068 | Spontaneous arrhythmias | 43.4% of the ICD patients successfully paced following shock; there were no adverse reactions related to pacing |
| Berger et al. [44] | USA, 2023 | 313 | 313 patients dying out of hospital when wearing WCD | Postshock asystole occurred in 205 (65.2%) and postshock bradycardia in 111 (35.5%) patients who died OOH after being shocked by a WCD for VF or VT. Implanted pacemakers may not prevent asystole or bradycardia after a WCD shock |
| Abbott et al. [42] | Germany, 2023 | 780 | Evaluation of BNP levels pre and post DFT in patients without postshock pacing and with different rates and durations of PSP | Patients without postshock pacing showed the highest BNP during the follow-up. Patients with postshock pacing with 90 bpm and duration of 60 s had the most favorable BNP level trends compared to other patients |
Note: DFT = defibrillation threshold test.
Abbreviations: BNP = blood natriuretic peptide; S-ICD = subcutaneous ICD; WCD = wearable cardioverter defibrillator.