• At least 3 months of OMT before an ICD should be considered
• LVEF to determine the risk of SCD confirmed
• The highest risk of SCD is in the first few weeks after a STEMI, especially in patients with reduced LVEF (ESC VT/VF Guidelines 2022)

AHA/ACC/HRS Guidelines 2017⁵

• Use of the WCD is supported with evidence level B-NR.
• The recommendation to consider WCD in ischaemic and non-ischaemic patients is equally supported in the guidelines.
• Joint decision-making with patients in favour of WCD treatment is a Class I recommendation.

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EHRA 2016⁶

• The WCD offers protection against SCD in the guideline-recommended waiting period and thus supports risk stratification based on the long-term risk of SCD
• The clinical benefit of the WCD is made up of the number of arrhythmias converted, the number of successful risk assessments and the number of unnecessary ICD implantations prevented.

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