Usefulness of remote monitoring for the early detection of back-up mode in implantable cardioverter defibrillators.
Aged
Aged, 80 and over
Arrhythmias, Cardiac
/ diagnosis
Defibrillators, Implantable
Early Diagnosis
Electric Countershock
/ adverse effects
Female
Heart Failure
/ diagnosis
Humans
Male
Middle Aged
Predictive Value of Tests
Prospective Studies
Prosthesis Failure
Registries
Remote Sensing Technology
Risk Factors
Telemedicine
Time Factors
Treatment Outcome
Back-up mode
Défibrillateur automatique implantable
Implantable cardioverter defibrillator
Mode secours
Radiotherapy
Radiothérapie
Remote monitoring
Telemedicine
Télémédecine
Télésurveillance
Journal
Archives of cardiovascular diseases
ISSN: 1875-2128
Titre abrégé: Arch Cardiovasc Dis
Pays: Netherlands
ID NLM: 101465655
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
received:
24
07
2020
revised:
07
08
2020
accepted:
30
11
2020
pubmed:
3
2
2021
medline:
2
6
2021
entrez:
2
2
2021
Statut:
ppublish
Résumé
Reversion of an implantable cardioverter defibrillator (ICD) to back-up mode degrades the operating capabilities of the device, puts patients at risk and requires rapid intervention by a manufacturer's technician. To illustrate the usefulness of remote monitoring of ICDs for the early detection of reversion to back-up mode. In our centre, all patients implanted with an ICD, with or without resynchronisation, were offered remote monitoring as soon as the technology became available. Alerts triggered by the remote monitoring system were included prospectively in a register. During a mean follow-up of 5.7±1.3 years, a total of 1594 patients with an ICD (441 with resynchronisation function) followed with remote monitoring were included in the register. Among 15,874 alerts, only 10 were related to a reversion to back-up mode. Among those, seven reversions were caused by radiotherapy, two were fake events and one was caused by magnetic resonance imaging. Except for the two fake events, the eight other patients had an emergency admission for the resetting and reprogramming of their ICD. None of the reversion to back-up mode alerts was followed by a clinical alert (i.e. a shock alert) before the ICD problem was resolved. Reversion to back-up mode is a very rare event, accounting for 0.06% of total alerts; remote monitoring facilitates the early detection of this critical event to resolve the problem faster than the next scheduled follow-up. Remote monitoring can prevent serious damage to the patient and avoids systematic ambulatory control of the ICD after each radiotherapy session.
Sections du résumé
BACKGROUND
BACKGROUND
Reversion of an implantable cardioverter defibrillator (ICD) to back-up mode degrades the operating capabilities of the device, puts patients at risk and requires rapid intervention by a manufacturer's technician.
AIM
OBJECTIVE
To illustrate the usefulness of remote monitoring of ICDs for the early detection of reversion to back-up mode.
METHODS
METHODS
In our centre, all patients implanted with an ICD, with or without resynchronisation, were offered remote monitoring as soon as the technology became available. Alerts triggered by the remote monitoring system were included prospectively in a register. During a mean follow-up of 5.7±1.3 years, a total of 1594 patients with an ICD (441 with resynchronisation function) followed with remote monitoring were included in the register.
RESULTS
RESULTS
Among 15,874 alerts, only 10 were related to a reversion to back-up mode. Among those, seven reversions were caused by radiotherapy, two were fake events and one was caused by magnetic resonance imaging. Except for the two fake events, the eight other patients had an emergency admission for the resetting and reprogramming of their ICD. None of the reversion to back-up mode alerts was followed by a clinical alert (i.e. a shock alert) before the ICD problem was resolved.
CONCLUSIONS
CONCLUSIONS
Reversion to back-up mode is a very rare event, accounting for 0.06% of total alerts; remote monitoring facilitates the early detection of this critical event to resolve the problem faster than the next scheduled follow-up. Remote monitoring can prevent serious damage to the patient and avoids systematic ambulatory control of the ICD after each radiotherapy session.
Identifiants
pubmed: 33526375
pii: S1875-2136(21)00012-7
doi: 10.1016/j.acvd.2020.11.008
pii:
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
287-292Informations de copyright
Copyright © 2021 Elsevier Masson SAS. All rights reserved.