ADHESIVELY COUPLED WEARABLE MEDICAL DEVICE

A patient-worn arrhythmia monitoring and treatment device includes an anterior adhesively coupled pad, a posterior adhesively coupled pad, and a wearable support integrated with the anterior and posterior adhesively coupled pads. The wearable support is configured to bear at least a portion of the weight of at least one of the anterior adhesively coupled pad or the posterior adhesively coupled pad. The device also includes a pair of therapy electrodes configured to deliver one or more therapeutic pulses, a plurality of ECG sensing electrodes, a first housing, a second housing, an ECG acquisition and conditioning circuit, a therapy delivery circuit, and a processor. The processor is configured to analyze the at least one ECG signal of the patient, detect one or more treatable arrhythmias, and cause the therapy delivery circuit to deliver up to five therapeutic pulses to the patient.