Academic Journal
Predictive value of the PRAETORIAN score for defibrillation test success in patients with subcutaneous ICD: A subanalysis of the PRAETORIAN-DFT trial
| Τίτλος: | Predictive value of the PRAETORIAN score for defibrillation test success in patients with subcutaneous ICD: A subanalysis of the PRAETORIAN-DFT trial |
|---|---|
| Συγγραφείς: | Knops, RE, El-Chami, MF, Marquie, C, Nordbeck, P, Quast, AFBE, Tilz, RR, Brouwer, TF, Lambiase, PD, Cassidy, CJ, Boersma, LVA, Burke, MC, Pepplinkhuizen, S, de Veld, JA, de Weger, A, Bracke, FALE, Manyam, H, Probst, V, Betts, TR, Bijsterveld, NR, Defaye, P, Demming, T, Elders, J, Field, DC, Ghani, A, Golovchiner, G, de Jong, JSSG, Lewis, N, Marijon, E, Martin, CA, Miller, MA, Shaik, NA, van der Stuijt, W, Kuschyk, J, Olde Nordkamp, LRA, Arya, A, Borger van der Burg, AE, Boveda, S, van Doorn, DJ, Glikson, M, Kaiser, L, Maass, AH, van Woerkens, LJPM, Zaidi, A, Wilde, AAM, Smeding, L |
| Πηγή: | Heart Rhythm (2024) (In press). |
| Στοιχεία εκδότη: | Elsevier BV |
| Έτος έκδοσης: | 2024 |
| Συλλογή: | University College London: UCL Discovery |
| Θεματικοί όροι: | Defibrillation testing, PRAETORIAN score, Subcutaneous ICD, Transvenous ICD, Ventricular arrhythmia |
| Περιγραφή: | Background: The PRAETORIAN score estimates the risk of failure of subcutaneous implantable cardioverter-defibrillator (S-ICD) therapy by using generator and lead positioning on bidirectional chest radiographs. The PRospective randomized compArative trial of subcutanEous implanTable cardiOverter-defibrillatoR ImplANtation with and without DeFibrillation Testing (PRAETORIAN-DFT) investigates whether PRAETORIAN score calculation is noninferior to defibrillation testing (DFT) with regard to first shock efficacy in spontaneous events. Objective: This prespecified subanalysis assessed the predictive value of the PRAETORIAN score for defibrillation success in induced ventricular arrhythmias. Methods: This multicenter investigator-initiated trial randomized 965 patients between DFT and PRAETORIAN score calculation after de novo S-ICD implantation. Successful DFT was defined as conversion of induced ventricular arrhythmia in <5 seconds from shock delivery within 2 attempts. Bidirectional chest radiographs were obtained after implantation. The predictive value of the PRAETORIAN score for DFT success was calculated for patients in the DFT arm. Results: In total, 482 patients were randomized to undergo DFT. Of these patients, 457 (95%) underwent DFT according to protocol, of whom 445 (97%) had successful DFT and 12 (3%) had failed DFT. A PRAETORIAN score of ≥90 had a positive predictive value of 25% for failed DFT, and a PRAETORIAN score of <90 had a negative predictive value of 99% for successful DFT. A PRAETORIAN score of ≥90 was the strongest independent predictor for failed DFT (odds ratio 33.77; confidence interval 6.13–279.95; P <.001). Conclusion: A PRAETORIAN score of <90 serves as a reliable indicator for DFT success in patients with S-ICD, and a PRAETORIAN score of ≥90 is a strong predictor for DFT failure. |
| Τύπος εγγράφου: | article in journal/newspaper |
| Περιγραφή αρχείου: | application/pdf |
| Γλώσσα: | English |
| Relation: | https://discovery.ucl.ac.uk/id/eprint/10190518/ |
| Διαθεσιμότητα: | https://discovery.ucl.ac.uk/id/eprint/10190518/1/1-s2.0-S1547527124001152-main.pdf https://discovery.ucl.ac.uk/id/eprint/10190518/ |
| Rights: | open |
| Αριθμός Καταχώρησης: | edsbas.899A7DE7 |
| Βάση Δεδομένων: | BASE |
| FullText | Text: Availability: 0 CustomLinks: – Url: https://discovery.ucl.ac.uk/id/eprint/10190518/1/1-s2.0-S1547527124001152-main.pdf# Name: EDS - BASE (ns324271) Category: fullText Text: View record from BASE |
|---|---|
| Header | DbId: edsbas DbLabel: BASE An: edsbas.899A7DE7 RelevancyScore: 945 AccessLevel: 3 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 944.983581542969 |
| IllustrationInfo | |
| Items | – Name: Title Label: Title Group: Ti Data: Predictive value of the PRAETORIAN score for defibrillation test success in patients with subcutaneous ICD: A subanalysis of the PRAETORIAN-DFT trial – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Knops%2C+RE%22">Knops, RE</searchLink><br /><searchLink fieldCode="AR" term="%22El-Chami%2C+MF%22">El-Chami, MF</searchLink><br /><searchLink fieldCode="AR" term="%22Marquie%2C+C%22">Marquie, C</searchLink><br /><searchLink fieldCode="AR" term="%22Nordbeck%2C+P%22">Nordbeck, P</searchLink><br /><searchLink fieldCode="AR" term="%22Quast%2C+AFBE%22">Quast, AFBE</searchLink><br /><searchLink fieldCode="AR" term="%22Tilz%2C+RR%22">Tilz, RR</searchLink><br /><searchLink fieldCode="AR" term="%22Brouwer%2C+TF%22">Brouwer, TF</searchLink><br /><searchLink fieldCode="AR" term="%22Lambiase%2C+PD%22">Lambiase, PD</searchLink><br /><searchLink fieldCode="AR" term="%22Cassidy%2C+CJ%22">Cassidy, CJ</searchLink><br /><searchLink fieldCode="AR" term="%22Boersma%2C+LVA%22">Boersma, LVA</searchLink><br /><searchLink fieldCode="AR" term="%22Burke%2C+MC%22">Burke, MC</searchLink><br /><searchLink fieldCode="AR" term="%22Pepplinkhuizen%2C+S%22">Pepplinkhuizen, S</searchLink><br /><searchLink fieldCode="AR" term="%22de+Veld%2C+JA%22">de Veld, JA</searchLink><br /><searchLink fieldCode="AR" term="%22de+Weger%2C+A%22">de Weger, A</searchLink><br /><searchLink fieldCode="AR" term="%22Bracke%2C+FALE%22">Bracke, FALE</searchLink><br /><searchLink fieldCode="AR" term="%22Manyam%2C+H%22">Manyam, H</searchLink><br /><searchLink fieldCode="AR" term="%22Probst%2C+V%22">Probst, V</searchLink><br /><searchLink fieldCode="AR" term="%22Betts%2C+TR%22">Betts, TR</searchLink><br /><searchLink fieldCode="AR" term="%22Bijsterveld%2C+NR%22">Bijsterveld, NR</searchLink><br /><searchLink fieldCode="AR" term="%22Defaye%2C+P%22">Defaye, P</searchLink><br /><searchLink fieldCode="AR" term="%22Demming%2C+T%22">Demming, T</searchLink><br /><searchLink fieldCode="AR" term="%22Elders%2C+J%22">Elders, J</searchLink><br /><searchLink fieldCode="AR" term="%22Field%2C+DC%22">Field, DC</searchLink><br /><searchLink fieldCode="AR" term="%22Ghani%2C+A%22">Ghani, A</searchLink><br /><searchLink fieldCode="AR" term="%22Golovchiner%2C+G%22">Golovchiner, G</searchLink><br /><searchLink fieldCode="AR" term="%22de+Jong%2C+JSSG%22">de Jong, JSSG</searchLink><br /><searchLink fieldCode="AR" term="%22Lewis%2C+N%22">Lewis, N</searchLink><br /><searchLink fieldCode="AR" term="%22Marijon%2C+E%22">Marijon, E</searchLink><br /><searchLink fieldCode="AR" term="%22Martin%2C+CA%22">Martin, CA</searchLink><br /><searchLink fieldCode="AR" term="%22Miller%2C+MA%22">Miller, MA</searchLink><br /><searchLink fieldCode="AR" term="%22Shaik%2C+NA%22">Shaik, NA</searchLink><br /><searchLink fieldCode="AR" term="%22van+der+Stuijt%2C+W%22">van der Stuijt, W</searchLink><br /><searchLink fieldCode="AR" term="%22Kuschyk%2C+J%22">Kuschyk, J</searchLink><br /><searchLink fieldCode="AR" term="%22Olde+Nordkamp%2C+LRA%22">Olde Nordkamp, LRA</searchLink><br /><searchLink fieldCode="AR" term="%22Arya%2C+A%22">Arya, A</searchLink><br /><searchLink fieldCode="AR" term="%22Borger+van+der+Burg%2C+AE%22">Borger van der Burg, AE</searchLink><br /><searchLink fieldCode="AR" term="%22Boveda%2C+S%22">Boveda, S</searchLink><br /><searchLink fieldCode="AR" term="%22van+Doorn%2C+DJ%22">van Doorn, DJ</searchLink><br /><searchLink fieldCode="AR" term="%22Glikson%2C+M%22">Glikson, M</searchLink><br /><searchLink fieldCode="AR" term="%22Kaiser%2C+L%22">Kaiser, L</searchLink><br /><searchLink fieldCode="AR" term="%22Maass%2C+AH%22">Maass, AH</searchLink><br /><searchLink fieldCode="AR" term="%22van+Woerkens%2C+LJPM%22">van Woerkens, LJPM</searchLink><br /><searchLink fieldCode="AR" term="%22Zaidi%2C+A%22">Zaidi, A</searchLink><br /><searchLink fieldCode="AR" term="%22Wilde%2C+AAM%22">Wilde, AAM</searchLink><br /><searchLink fieldCode="AR" term="%22Smeding%2C+L%22">Smeding, L</searchLink> – Name: TitleSource Label: Source Group: Src Data: Heart Rhythm (2024) (In press). – Name: Publisher Label: Publisher Information Group: PubInfo Data: Elsevier BV – Name: DatePubCY Label: Publication Year Group: Date Data: 2024 – Name: Subset Label: Collection Group: HoldingsInfo Data: University College London: UCL Discovery – Name: Subject Label: Subject Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Defibrillation+testing%22">Defibrillation testing</searchLink><br /><searchLink fieldCode="DE" term="%22PRAETORIAN+score%22">PRAETORIAN score</searchLink><br /><searchLink fieldCode="DE" term="%22Subcutaneous+ICD%22">Subcutaneous ICD</searchLink><br /><searchLink fieldCode="DE" term="%22Transvenous+ICD%22">Transvenous ICD</searchLink><br /><searchLink fieldCode="DE" term="%22Ventricular+arrhythmia%22">Ventricular arrhythmia</searchLink> – Name: Abstract Label: Description Group: Ab Data: Background: The PRAETORIAN score estimates the risk of failure of subcutaneous implantable cardioverter-defibrillator (S-ICD) therapy by using generator and lead positioning on bidirectional chest radiographs. The PRospective randomized compArative trial of subcutanEous implanTable cardiOverter-defibrillatoR ImplANtation with and without DeFibrillation Testing (PRAETORIAN-DFT) investigates whether PRAETORIAN score calculation is noninferior to defibrillation testing (DFT) with regard to first shock efficacy in spontaneous events. Objective: This prespecified subanalysis assessed the predictive value of the PRAETORIAN score for defibrillation success in induced ventricular arrhythmias. Methods: This multicenter investigator-initiated trial randomized 965 patients between DFT and PRAETORIAN score calculation after de novo S-ICD implantation. Successful DFT was defined as conversion of induced ventricular arrhythmia in <5 seconds from shock delivery within 2 attempts. Bidirectional chest radiographs were obtained after implantation. The predictive value of the PRAETORIAN score for DFT success was calculated for patients in the DFT arm. Results: In total, 482 patients were randomized to undergo DFT. Of these patients, 457 (95%) underwent DFT according to protocol, of whom 445 (97%) had successful DFT and 12 (3%) had failed DFT. A PRAETORIAN score of ≥90 had a positive predictive value of 25% for failed DFT, and a PRAETORIAN score of <90 had a negative predictive value of 99% for successful DFT. A PRAETORIAN score of ≥90 was the strongest independent predictor for failed DFT (odds ratio 33.77; confidence interval 6.13–279.95; P <.001). Conclusion: A PRAETORIAN score of <90 serves as a reliable indicator for DFT success in patients with S-ICD, and a PRAETORIAN score of ≥90 is a strong predictor for DFT failure. – Name: TypeDocument Label: Document Type Group: TypDoc Data: article in journal/newspaper – Name: Format Label: File Description Group: SrcInfo Data: application/pdf – Name: Language Label: Language Group: Lang Data: English – Name: NoteTitleSource Label: Relation Group: SrcInfo Data: https://discovery.ucl.ac.uk/id/eprint/10190518/ – Name: URL Label: Availability Group: URL Data: https://discovery.ucl.ac.uk/id/eprint/10190518/1/1-s2.0-S1547527124001152-main.pdf<br />https://discovery.ucl.ac.uk/id/eprint/10190518/ – Name: Copyright Label: Rights Group: Cpyrght Data: open – Name: AN Label: Accession Number Group: ID Data: edsbas.899A7DE7 |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edsbas&AN=edsbas.899A7DE7 |
| RecordInfo | BibRecord: BibEntity: Languages: – Text: English Subjects: – SubjectFull: Defibrillation testing Type: general – SubjectFull: PRAETORIAN score Type: general – SubjectFull: Subcutaneous ICD Type: general – SubjectFull: Transvenous ICD Type: general – SubjectFull: Ventricular arrhythmia Type: general Titles: – TitleFull: Predictive value of the PRAETORIAN score for defibrillation test success in patients with subcutaneous ICD: A subanalysis of the PRAETORIAN-DFT trial Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Knops, RE – PersonEntity: Name: NameFull: El-Chami, MF – PersonEntity: Name: NameFull: Marquie, C – PersonEntity: Name: NameFull: Nordbeck, P – PersonEntity: Name: NameFull: Quast, AFBE – PersonEntity: Name: NameFull: Tilz, RR – PersonEntity: Name: NameFull: Brouwer, TF – PersonEntity: Name: NameFull: Lambiase, PD – PersonEntity: Name: NameFull: Cassidy, CJ – PersonEntity: Name: NameFull: Boersma, LVA – PersonEntity: Name: NameFull: Burke, MC – PersonEntity: Name: NameFull: Pepplinkhuizen, S – PersonEntity: Name: NameFull: de Veld, JA – PersonEntity: Name: NameFull: de Weger, A – PersonEntity: Name: NameFull: Bracke, FALE – PersonEntity: Name: NameFull: Manyam, H – PersonEntity: Name: NameFull: Probst, V – PersonEntity: Name: NameFull: Betts, TR – PersonEntity: Name: NameFull: Bijsterveld, NR – PersonEntity: Name: NameFull: Defaye, P – PersonEntity: Name: NameFull: Demming, T – PersonEntity: Name: NameFull: Elders, J – PersonEntity: Name: NameFull: Field, DC – PersonEntity: Name: NameFull: Ghani, A – PersonEntity: Name: NameFull: Golovchiner, G – PersonEntity: Name: NameFull: de Jong, JSSG – PersonEntity: Name: NameFull: Lewis, N – PersonEntity: Name: NameFull: Marijon, E – PersonEntity: Name: NameFull: Martin, CA – PersonEntity: Name: NameFull: Miller, MA – PersonEntity: Name: NameFull: Shaik, NA – PersonEntity: Name: NameFull: van der Stuijt, W – PersonEntity: Name: NameFull: Kuschyk, J – PersonEntity: Name: NameFull: Olde Nordkamp, LRA – PersonEntity: Name: NameFull: Arya, A – PersonEntity: Name: NameFull: Borger van der Burg, AE – PersonEntity: Name: NameFull: Boveda, S – PersonEntity: Name: NameFull: van Doorn, DJ – PersonEntity: Name: NameFull: Glikson, M – PersonEntity: Name: NameFull: Kaiser, L – PersonEntity: Name: NameFull: Maass, AH – PersonEntity: Name: NameFull: van Woerkens, LJPM – PersonEntity: Name: NameFull: Zaidi, A – PersonEntity: Name: NameFull: Wilde, AAM – PersonEntity: Name: NameFull: Smeding, L IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Type: published Y: 2024 Identifiers: – Type: issn-locals Value: edsbas – Type: issn-locals Value: edsbas.oa Titles: – TitleFull: Heart Rhythm (2024) (In press Type: main |
| ResultId | 1 |