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Echivard M, Sellal JM, Ziliox C, Marijon E, Bordachar P, Ploux S, Benali K, Marquié C, Docq C, Klug D, Eschalier R, Maille B, Deharo JC, Babuty D, Genet T, Gandjbakhch E, Da Costa A, Piot O, Minois D, Gourraud JB, Mondoly P, Maury P, Boveda S, Pasquié JL, Martins R, Leclercq C, Guenancia C, Laurent G, Becker M, Bertrand J, Chevalier P, Manenti V, Kubala M, Defaye P, Jacon P, Desbiolles A, Badoz M, Jesel L, Lellouche N, Milliez PU, Ollitrault P, Fareh S, Bercker M, Mansourati J, Guy-Moyat B, Chabert JP, Luconi N, Winum PF, Anselme F, Extramiana F, Delahaye C, Jourda F, Bizeau O, Nasarre M, Olivier A, Fromentin S, Villemin T, Levavasseur O, Hammache N, Magnin-Poull I, Blangy H, Sadoul N, Duarte K, Girerd N, de Chillou C. Prognostic value of ventricular arrhythmia in early post-infarction left ventricular dysfunction: the French nationwide WICD-MI study. Eur Heart J 2024:ehae575. [PMID: 39299922 DOI: 10.1093/eurheartj/ehae575] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/19/2023] [Revised: 04/15/2024] [Accepted: 08/15/2024] [Indexed: 09/22/2024] Open
Abstract
BACKGROUND AND AIMS Prophylactic implantable cardioverter-defibrillators (ICDs) are not recommended until left ventricular ejection fraction (LVEF) has been reassessed 40 to 90 days after an acute myocardial infarction. In the current therapeutic era, the prognosis of sustained ventricular arrhythmias (VAs) occurring during this early post-infarction phase (i.e. within 3 months of hospital discharge) has not yet been specifically evaluated in post-myocardial infarction patients with impaired LVEF. Such was the aim of this retrospective study. METHODS Data analysis was based on a nationwide registry of 1032 consecutive patients with LVEF ≤ 35% after acute myocardial infarction who were implanted with an ICD after being prescribed a wearable cardioverter-defibrillator (WCD) for a period of 3 months upon discharge from hospital after the index infarction. RESULTS ICDs were implanted either because a sustained VA occurred while on WCD (VA+/WCD, n = 72) or because LVEF remained ≤35% at the end of the early post-infarction phase (VA-/WCD, n = 960). The median follow-up was 30.9 months. Sustained VAs occurred within 1 year after ICD implantation in 22.2% and 3.5% of VA+/WCD and VA-/WCD patients, respectively (P < .0001). The adjusted multivariable analysis showed that sustained VAs while on WCD independently predicted recurrence of sustained VAs at 1 year (adjusted hazard ratio [HR] 6.91; 95% confidence interval [CI] 3.73-12.81; P < .0001) and at the end of follow-up (adjusted HR 3.86; 95% CI 2.37-6.30; P < .0001) as well as 1-year mortality (adjusted HR 2.86; 95% CI 1.28-6.39; P = .012). CONCLUSIONS In patients with LVEF ≤ 35%, sustained VA during the early post-infarction phase is predictive of recurrent sustained VAs and 1-year mortality.
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Affiliation(s)
- Mathieu Echivard
- Department of Cardiology, CHRU-Nancy, Université de Lorraine, Nancy, 1 rue du Morvan, 54500 Vandoeuvre-lès-Nancy, France
| | - Jean-Marc Sellal
- Department of Cardiology, CHRU-Nancy, Université de Lorraine, Nancy, 1 rue du Morvan, 54500 Vandoeuvre-lès-Nancy, France
- IADI, INSERM U1254, Université de Lorraine, Nancy, 1 rue du Morvan, 54500 Vandoeuvre-lès-Nancy, France
| | - Chloé Ziliox
- Department of Cardiology, CHRU-Nancy, Université de Lorraine, Nancy, 1 rue du Morvan, 54500 Vandoeuvre-lès-Nancy, France
| | - Eloi Marijon
- Department of Cardiology, Hôpital Europen Georges Pompidou, AP-HP, Université Paris Descartes, Paris, France
- INSERM U970, Université Paris Descartes, Paris, France
| | - Pierre Bordachar
- Department of Cardiology, CHRU-Bordeaux, Université de Bordeaux, Bordeaux-Pessac, France
- IHU Liryc, Electrophysiology and Heart Modeling Institute, Université de Bordeaux, Bordeaux, France
| | - Sylvain Ploux
- Department of Cardiology, CHRU-Bordeaux, Université de Bordeaux, Bordeaux-Pessac, France
- IHU Liryc, Electrophysiology and Heart Modeling Institute, Université de Bordeaux, Bordeaux, France
| | - Karim Benali
- Department of Cardiology, CHRU-Bordeaux, Université de Bordeaux, Bordeaux-Pessac, France
- IHU Liryc, Electrophysiology and Heart Modeling Institute, Université de Bordeaux, Bordeaux, France
| | - Christelle Marquié
- Department of Cardiology, CHRU-Lille, Université de Lille, Lille, France
| | - Clémence Docq
- Department of Cardiology, CHRU-Lille, Université de Lille, Lille, France
| | - Didier Klug
- Department of Cardiology, CHRU-Lille, Université de Lille, Lille, France
| | - Romain Eschalier
- Department of Cardiology, CHRU-Clermont-Ferrand, Université Clermont Auvergne, Clermont-Ferrand, France
| | - Baptiste Maille
- Department of Cardiology, Hôpital La Timone, AP-HM, Université Aix-Marseille, Marseille, France
| | - Jean-Claude Deharo
- Department of Cardiology, Hôpital La Timone, AP-HM, Université Aix-Marseille, Marseille, France
| | - Dominique Babuty
- Department of Cardiology, CHRU-Tours, Université de Tours, Tours, France
| | - Thibaud Genet
- Department of Cardiology, CHRU-Tours, Université de Tours, Tours, France
| | - Estelle Gandjbakhch
- Department of Cardiology & ICAN, Hôpital Pitié-Salpêtrière, AP-HP, Sorbonne Université, Paris, France
- INSERM, UMPC, Sorbonne Université, Paris, France
| | - Antoine Da Costa
- Department of Cardiology, CHRU-Saint-Etienne, Université de Saint-Etienne Jean-Monnet, Saint-Etienne, France
| | - Olivier Piot
- Department of Cardiology, Centre Cardiologique du Nord, Saint Denis, France
| | - Damien Minois
- Department of Cardiology, CHRU-Nantes, Université de Nantes, Nantes, France
| | | | - Pierre Mondoly
- Department of Cardiology, Hôpital de Rangueil, CHRU-Toulouse, Université de Toulouse, Toulouse, France
| | - Philippe Maury
- Department of Cardiology, Hôpital de Rangueil, CHRU-Toulouse, Université de Toulouse, Toulouse, France
- INSERM U1048, Université de Toulouse, Toulouse, France
| | - Serge Boveda
- Department of Cardiology, Clinique Pasteur, Toulouse, France
| | - Jean-Luc Pasquié
- Department of Cardiology, CHRU-Montpellier, Université de Montpellier, Montpellier, France
| | - Raphaël Martins
- Department of Cardiology, CHRU-Rennes, Université de Rennes, Rennes, France
| | | | - Charles Guenancia
- Department of Cardiology, CHRU-Dijon, Université de Bourgogne, Dijon, France
| | - Gabriel Laurent
- Department of Cardiology, CHRU-Dijon, Université de Bourgogne, Dijon, France
| | - Mathieu Becker
- Department of Cardiology, CHR-Metz-Thionville, Metz-Ars Laquenexy, France
| | - Julien Bertrand
- Department of Cardiology, CHR-Metz-Thionville, Metz-Ars Laquenexy, France
| | - Philippe Chevalier
- Department of Cardiology, Hôpital Louis Pradel, HCL, Université Claude Bernard Lyon 1, Lyon-Bron, France
| | - Vladimir Manenti
- Department of Cardiology, Hôpital Privé Claude Galien, Quincy-sous-Sénart, France
- Department of Cardiology, Hôpital Privé Jacques Cartier, Massy, France
| | - Maciej Kubala
- Department of Cardiology, CHRU-Amiens, Université de Picardie Jules Verne, Amiens, France
| | - Pascal Defaye
- Department of Cardiology, CHRU-Grenoble, Université de Grenoble Alpes, Grenoble, France
| | - Peggy Jacon
- Department of Cardiology, CHRU-Grenoble, Université de Grenoble Alpes, Grenoble, France
| | - Antoine Desbiolles
- Department of Cardiology, CHRU-Grenoble, Université de Grenoble Alpes, Grenoble, France
| | - Marc Badoz
- Department of Cardiology, CHRU-Besançon, Université de Franche-Comté, Besançon, France
| | - Laurence Jesel
- Department of Cardiology, CHRU-Strasbourg, Université de Strasbourg, Strasbourg, France
| | - Nicolas Lellouche
- Department of Cardiology, Hôpital Henri Mondor, AP-HP, Université de Paris Est Créteil, Créteil, France
| | - Paul-Ursmar Milliez
- Department of Cardiology, CHRU-Caen, Université de Caen Normandie, Caen, France
| | - Paul Ollitrault
- Department of Cardiology, CHRU-Caen, Université de Caen Normandie, Caen, France
| | - Samir Fareh
- Department of Cardiology, Hôpital de la Croix Rousse, HCL, Université Claude Bernard Lyon 1, Lyon, France
| | - Matthieu Bercker
- Department of Cardiology, Centre Hospitalier de Boulogne-sur-Mer, Boulogne-sur-Mer, France
| | - Jacques Mansourati
- Department of Cardiology, CHRU-Brest, Université de Bretagne Occidentale, Brest, France
| | - Benoît Guy-Moyat
- Department of Cardiology, CHRU-Limoges, Université de Limoges, Limoges, France
| | - Jean-Pierre Chabert
- Department of Cardiology, CHRU-Reims, Université de Reims Champagne-Ardenne, Reims, France
| | - Nicolas Luconi
- Department of Cardiology, CHRU-Reims, Université de Reims Champagne-Ardenne, Reims, France
| | | | - Frédéric Anselme
- Department of Cardiology, CHRU-Rouen, Université de Rouen, Rouen, France
| | - Fabrice Extramiana
- Department of Cardiology, Hôpital Bichat, AP-HP, Université Paris-Cité, Paris, France
| | - Camille Delahaye
- Department of Cardiology, Centre Hospitalier de Roubaix, Roubaix, France
| | - François Jourda
- Department of Cardiology, Centre Hospitalier d'Auxerre, Auxerre, France
| | - Olivier Bizeau
- Department of Cardiology, CHR d'Orléans, Orléans, France
| | | | - Arnaud Olivier
- Department of Cardiology, Clinique Pasteur, Essey-lès-Nancy, France
| | | | - Thibault Villemin
- Department of Cardiology, Polyclinique Reims-Bezannes, Bezannes, France
| | - Olivier Levavasseur
- Department of Cardiology, Hôpital Nord-Ouest de Villefranche-sur-Saône, Villefranche-sur-Saône, France
| | - Néfissa Hammache
- Department of Cardiology, CHRU-Nancy, Université de Lorraine, Nancy, 1 rue du Morvan, 54500 Vandoeuvre-lès-Nancy, France
| | - Isabelle Magnin-Poull
- Department of Cardiology, CHRU-Nancy, Université de Lorraine, Nancy, 1 rue du Morvan, 54500 Vandoeuvre-lès-Nancy, France
| | - Hugues Blangy
- Department of Cardiology, CHRU-Nancy, Université de Lorraine, Nancy, 1 rue du Morvan, 54500 Vandoeuvre-lès-Nancy, France
| | - Nicolas Sadoul
- Department of Cardiology, CHRU-Nancy, Université de Lorraine, Nancy, 1 rue du Morvan, 54500 Vandoeuvre-lès-Nancy, France
| | - Kevin Duarte
- CIC-P 1433, INSERM, CHRU-Nancy, Université de Lorraine and CHRU Nancy, Nancy, France
| | - Nicolas Girerd
- Department of Cardiology, CHRU-Nancy, Université de Lorraine, Nancy, 1 rue du Morvan, 54500 Vandoeuvre-lès-Nancy, France
- CIC-P 1433, INSERM, CHRU-Nancy, Université de Lorraine and CHRU Nancy, Nancy, France
| | - Christian de Chillou
- Department of Cardiology, CHRU-Nancy, Université de Lorraine, Nancy, 1 rue du Morvan, 54500 Vandoeuvre-lès-Nancy, France
- IADI, INSERM U1254, Université de Lorraine, Nancy, 1 rue du Morvan, 54500 Vandoeuvre-lès-Nancy, France
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