| Title: |
Subcutaneous Implantable Defibrillators in Young Patients: Arrhythmias, Complications, and Physical Activity |
| Authors: |
Francia, Pietro; Ziacchi, Matteo; Migliore, Federico; De Filippo, Paolo; Dello Russo, Antonio; Viani, Stefano; Rapacciuolo, Antonio; Falasconi, Giulio; Adduci, Carmen; Bisignani, Giovanni; Checchi, Luca; Busacca, Giuseppe; Santini, Luca; Lavalle, Carlo; Calvi, Valeria Ilia; Curcio, Antonio; Silvetti, Massimo; Pangallo, Antonio; Carbonaro, Marco; Giorgi, Davide; Pittorru, Raimondo; Lovecchio, Mariolina; Valsecchi, Sergio; Biffi, Mauro; D'Onofrio, Antonio; Pelliccia, Antonio; Botto, G. L.; Canevese, F. L.; Casale, M. C.; Caravati, F.; Schintu, B.; Scalone, A.; Tola, G.; Setzu, A.; Santarpia, G.; Santoro, A; Baiocchi, C; Gentilini SLunghetti; R; Palmisano, P.; Accogli, M.; Pisanò, E.; Milanese, G.; Pepi, P.; Nicolis, D.; Mariani, M.; Pagani, M.; Vincenzo Bonfantino, Massimo; Caccavo, V.; Grimaldi, M.; Katsouras, G.; Forleo, GB.; Chieffo, E.; Tavarelli, E.; Brambilla, R.; Pani, A.; Giammaria, M.; Lucciola, M. T.; Amellone, C.; Uran, C.; Baroni, M.; Ferrari, P.; Leidi, C.; Drago, F.; Pazzano, V.; Russo, S.; Remoli, R.; Battipaglia, I.; Cazzoli, I.; Saputo, F.; Devecchi, C.; Barbonaglia, L.; Viscusi, M.; Brignoli, M.; Mattera, A.; Pedretti, S.; Lupi, A; Tommasi, S.; Kol, A.; Gatto, M. C.; Persi, A.; Gonella, A.; Rossetti, G.; Menardi, E.; Rossini, R.; Notarstefano, P.; Nesti, M.; Fraticelli, A.; Carreras, G.; Donzelli, S.; Marini, C.; Tordini, A.; Lazzari, L.; Sartori, P.; Rossi, P.; Di Donna, P.; Mascia, G.; Capogrosso, P.; Magliano, P.; Colimodio, M.; Sala, S.; Mazzone, P.; Della Bella, P.; Coppolino, A.; Arena, G.; Borrello, V.; Ratti, M.; Bartoli, C.; Palano, F.; Torriglia, A.; Laffi, M.; Manzo, M.; Esposito, C.; Giano, A.; Franculli, F.; De Bonis, S.; Sarubbi, B.; Colonna, D.; Correra, A.; Romeo, E.; Liguori, V.; Viggiano, A.; Strisciullo, T.; Diemberger, I.; Martignani, C.; Piro, A.; Magnocavallo, M.; Mariani, M. V.; Ricciardi, D.; Calabrese, V.; Gioia, F.; Picarelli, F.; Licciardello, G.; Lamberti, F.; Lumia, G.; Bellini, C.; Bianchi, C.; Savarese, G.; Andreoli, C.; Pimpinicchio, L.; Pellegrini, D.; Bovenzi, null; Busoni, F.; Daleffe, E.; Facchin, D.; Rebellato, L; Stifano, G.; Magliano, G.; Sergi, D.; Barone, L.; Morgagni, R.; Casella, M.; Guerra, F.; Cipolletta, L.; Molini, S.; De Lucia, R.; Di Cori, A.; Grifoni, G.; Paperini, L.; Segreti, L.; Soldati, E.; Zucchelli, G.; Nigro, G.; Russo, V.; Rago, A.; Ammendola, E.; Papa, A.; Pieragnoli, P.; Ricciardi, G.; Perrotta, L. |
| Contributors: |
Francia, Pietro; Ziacchi, Matteo; Migliore, Federico; De Filippo, Paolo; Dello Russo, Antonio; Viani, Stefano; Rapacciuolo, Antonio; Falasconi, Giulio; Adduci, Carmen; Bisignani, Giovanni; Checchi, Luca; Busacca, Giuseppe; Santini, Luca; Lavalle, Carlo; Calvi, Valeria Ilia; Curcio, Antonio; Silvetti, Massimo; Pangallo, Antonio; Carbonaro, Marco; Giorgi, Davide; Pittorru, Raimondo; Lovecchio, Mariolina; Valsecchi, Sergio; Biffi, Mauro; D'Onofrio, Antonio; Pelliccia, Antonio; Botto, G. L.; Canevese, F. L.; Casale, M. C.; Caravati, F.; Schintu, B.; Scalone, A.; Tola, G.; Setzu, A.; Santarpia, G.; Santoro, A; Baiocchi, C; Gentilini, Slunghetti; R; Palmisano, P.; Accogli, M.; Pisanò, E.; Milanese, G.; Pepi, P.; Nicolis, D.; Mariani, M.; Pagani, M.; Vincenzo Bonfantino, Massimo; Caccavo, V.; Grimaldi, M.; Katsouras, G.; Forleo, Gb.; Chieffo, E.; Tavarelli, E.; Brambilla, R.; Pani, A.; Giammaria, M.; Lucciola, M. T.; Amellone, C.; Uran, C.; Baroni, M.; Ferrari, P.; Leidi, C.; Drago, F.; Pazzano, V.; Russo, S.; Remoli, R.; Battipaglia, I.; Cazzoli, I.; Saputo, F.; Devecchi, C.; Barbonaglia, L.; Viscusi, M.; Brignoli, M.; Mattera, A.; Pedretti, S.; Lupi, A; Tommasi, S.; Kol, A.; Gatto, M. C.; Persi, A.; Gonella, A.; Rossetti, G.; Menardi, E.; Rossini, R.; Notarstefano, P.; Nesti, M.; Fraticelli, A.; Carreras, G.; Donzelli, S.; Marini, C.; Tordini, A.; Lazzari, L.; Sartori, P.; Rossi, P.; Di Donna, P.; Mascia, G.; Capogrosso, P.; Magliano, P.; Colimodio, M. |
| Publication Year: |
2025 |
| Collection: |
IRIS Università degli Studi di Bologna (CRIS - Current Research Information System) |
| Subject Terms: |
arrhythmias; cardiac; follow-up studie; incidence; life style; sports |
| Description: |
Background: The safety of subcutaneous implantable cardioverter defibrillator (S-ICD) recipients who lead active lifestyles and engage in recreational sports is unknown. We aimed to evaluate the association between lifestyle and recreational sports and the occurrence of arrhythmia- and device-related complications, appropriate and inappropriate shocks in S-ICD recipients. Methods: We assessed a cohort of young-adult (15-65 years) S-ICD patients, evaluated their physical activity with IPAQ (International Physical Activity Questionnaire), and assessed the association between lifestyle and recreational sports on S-ICD safety and shocks. Results: We enrolled 602 S-ICD recipients (77% males; age, 46±14 years). According to the IPAQ, patients were categorized as inactive subjects (26.4%), moderately active subjects (45.2%), or highly active subjects (28.4%). Among moderately/highly active subjects, 163 (27.1%) were recreational athletes. During follow-up (47.3 [interquartile range, 27.0-67.6] months), 23 patients (3.8%) reached the safety end point of arrhythmia- or device-related complications, with moderately and highly active subjects showing in multivariate analysis similar incidence compared with inactive subjects (P=0.59 and P=0.83, respectively). Forty-four patients had 87 appropriate shocks. In multivariate analysis, moderately and highly active subjects showed a nonsignificantly lower incidence of appropriate shocks compared with inactive subjects (P=0.12 and P=0.11, respectively). Consistently, there was a nonsignificant lower incidence of appropriate shocks in athletes versus nonathletes (P=0.06). Thirty-nine patients had 46 inappropriate shocks. Moderately and highly active subjects had similar incidence of inappropriate shocks compared with inactive subjects (P=0.92 and P=0.88, respectively). Conclusions: Young S-ICD patients often lead active lifestyles and participate in sports. Higher activity levels were not associated with increased implantable cardioverter defibrillator-related complications or ... |
| Document Type: |
article in journal/newspaper |
| File Description: |
ELETTRONICO |
| Language: |
English |
| Relation: |
info:eu-repo/semantics/altIdentifier/pmid/39989348; info:eu-repo/semantics/altIdentifier/wos/WOS:001446385400004; volume:18; issue:3; firstpage:-; lastpage:-; numberofpages:e013365; journal:CIRCULATION. ARRHYTHMIA AND ELECTROPHYSIOLOGY; https://hdl.handle.net/11585/1007283 |
| DOI: |
10.1161/circep.124.013365 |
| DOI: |
10.1161/CIRCEP.124.013365 |
| Availability: |
https://hdl.handle.net/11585/1007283; https://doi.org/10.1161/circep.124.013365; https://www.ahajournals.org/doi/10.1161/CIRCEP.124.013365 |
| Accession Number: |
edsbas.42F20B9F |
| Database: |
BASE |