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Frequent Home Monitoring of ICD Is Effective to Prevent Inappropriate Defibrillator Shock Delivery.

Bifulco P, Argenziano L, Romano M, Cesarelli M, Sansone M, Casella S, Nardi S - Case Rep Med (2014)

Bottom Line: Recently, in the context of telemedicine, telemonitoring services are gaining attention.Continuous remote telemonitoring was able to timely warn cardiologist via GSM-SMS, who were able to detect improper sensing examining the intracardiac electrogram via Web.This demonstrates the effectiveness and usefulness of continuous remote telemonitoring in supporting ICD patients.

View Article: PubMed Central - PubMed

Affiliation: DIETI, University of Naples "Federico II", 80125 Naples, Italy.

ABSTRACT
Recently, in the context of telemedicine, telemonitoring services are gaining attention. They are offered, for example, to patients with implantable cardioverter defibrillators (ICDs). A major problem associated with ICD therapy is the occurrence of inappropriate shocks which impair patients' quality of life and may also be arrhythmogenic. The telemonitoring can provide a valid support to intensify followup visits, in order to improve the prevention of inappropriate defibrillator shock, thus enhancing patient safety. Inappropriate shock generally depends on atrial fibrillation, supraventricular tachycardia, and abnormal sensing (such as those caused by electromagnetic interferences). As a practical example, an unusual case of an ICD patient who risked an inappropriate shock while taking a shower is reported. Continuous remote telemonitoring was able to timely warn cardiologist via GSM-SMS, who were able to detect improper sensing examining the intracardiac electrogram via Web. Patient was promptly contacted and warned to not further come in contact with the hydraulic system and any electrical appliance to prevent an inappropriate defibrillator shock. This demonstrates the effectiveness and usefulness of continuous remote telemonitoring in supporting ICD patients.

No MeSH data available.


Related in: MedlinePlus

Detail of the intracardiac EGM atrium and ventriculum. Power line interferences clearly visible on EGM (thickening of signal); it followed VF detection (purple arrows) and the start of the capacitor charge (red arrow).
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fig2: Detail of the intracardiac EGM atrium and ventriculum. Power line interferences clearly visible on EGM (thickening of signal); it followed VF detection (purple arrows) and the start of the capacitor charge (red arrow).

Mentions: An episode of ventricular tachycardia (VT) was documented followed by VF detection, a ventricular oversensing, likely due to power line interference, which appeared from the EGM. Power line artifacts were present of both atrial and ventricular sensing channels resulting in inhibition of the antibradycardia pacing functions and in some cases in ventricular pacing due to atrial oversensing (see Figure 2).


Frequent Home Monitoring of ICD Is Effective to Prevent Inappropriate Defibrillator Shock Delivery.

Bifulco P, Argenziano L, Romano M, Cesarelli M, Sansone M, Casella S, Nardi S - Case Rep Med (2014)

Detail of the intracardiac EGM atrium and ventriculum. Power line interferences clearly visible on EGM (thickening of signal); it followed VF detection (purple arrows) and the start of the capacitor charge (red arrow).
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3926368&req=5

fig2: Detail of the intracardiac EGM atrium and ventriculum. Power line interferences clearly visible on EGM (thickening of signal); it followed VF detection (purple arrows) and the start of the capacitor charge (red arrow).
Mentions: An episode of ventricular tachycardia (VT) was documented followed by VF detection, a ventricular oversensing, likely due to power line interference, which appeared from the EGM. Power line artifacts were present of both atrial and ventricular sensing channels resulting in inhibition of the antibradycardia pacing functions and in some cases in ventricular pacing due to atrial oversensing (see Figure 2).

Bottom Line: Recently, in the context of telemedicine, telemonitoring services are gaining attention.Continuous remote telemonitoring was able to timely warn cardiologist via GSM-SMS, who were able to detect improper sensing examining the intracardiac electrogram via Web.This demonstrates the effectiveness and usefulness of continuous remote telemonitoring in supporting ICD patients.

View Article: PubMed Central - PubMed

Affiliation: DIETI, University of Naples "Federico II", 80125 Naples, Italy.

ABSTRACT
Recently, in the context of telemedicine, telemonitoring services are gaining attention. They are offered, for example, to patients with implantable cardioverter defibrillators (ICDs). A major problem associated with ICD therapy is the occurrence of inappropriate shocks which impair patients' quality of life and may also be arrhythmogenic. The telemonitoring can provide a valid support to intensify followup visits, in order to improve the prevention of inappropriate defibrillator shock, thus enhancing patient safety. Inappropriate shock generally depends on atrial fibrillation, supraventricular tachycardia, and abnormal sensing (such as those caused by electromagnetic interferences). As a practical example, an unusual case of an ICD patient who risked an inappropriate shock while taking a shower is reported. Continuous remote telemonitoring was able to timely warn cardiologist via GSM-SMS, who were able to detect improper sensing examining the intracardiac electrogram via Web. Patient was promptly contacted and warned to not further come in contact with the hydraulic system and any electrical appliance to prevent an inappropriate defibrillator shock. This demonstrates the effectiveness and usefulness of continuous remote telemonitoring in supporting ICD patients.

No MeSH data available.


Related in: MedlinePlus