Abstract
A 51-year-old man with dilated cardiomyopathy was resuscitated from ventricular fibrillation.
Twenty-days after using a wearable cardioverter-defibrillator (WCD) contact dermatitis
with itching was evident and consistent with the self-gelling defibrillation electrodes
patch on the back. Itching was controlled with clobetasol propionate application.
The WCD was continued until catheter ablation and device implantation. The contact
dermatitis was completely recovered two weeks after discontinuing the WCD. Among 58
patients using the WCD, three (5.2%) complained about discomfort with the device,
and two (3.4%) complained of itching. Only the patient presented here (1.7%) suffered
from contact dermatitis with itching. Contact dermatitis is rarely observed in patients
wearing a WCD but physicians should be aware of this complication to maintain WCD
compliance.
<Learning objective: Inappropriate wearing of a wearable cardioverter-defibrillator (WCD) is sometimes
related to an unfortunate clinical course. WCD compliance is of paramount importance
since wearing it correctly can prevent a life-threatening arrhythmia. Contact dermatitis
is rarely observed in patients wearing a WCD but physicians should be aware of this
complication to maintain WCD compliance.>
Keywords
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References
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- Wearable cardioverter-defibrillators: A review of evidence and indications.Trends Cardiovasc Med. 2021; 31: 196-201
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Article info
Publication history
Published online: November 30, 2021
Accepted:
October 27,
2021
Received in revised form:
October 6,
2021
Received:
July 5,
2021
Identification
Copyright
© 2021 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.
