Impact of remote monitoring on reducing the burden of inappropriate shocks related to implantable cardioverter-defibrillator lead fractures: insights from a French single-centre registry
| Autor: | Laurence Guédon-Moreau, Stéphane Boulé, Ludivine Wissocque, Loïc Finat, François Brigadeau, David Montaigne, Zouheir Souissi, Claude Kouakam, Didier Klug, Christelle Marquié, Salem Kacet, Stéphanie Mouton, Dominique Lacroix |
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| Rok vydání: | 2015 |
| Předmět: |
Male
Pathology medicine.medical_specialty Ventricular lead medicine.medical_treatment Icd lead Electric Countershock 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Electronic records Physiology (medical) medicine Humans In patient Registries 030212 general & internal medicine Lead (electronics) Clinical events business.industry Middle Aged Implantable cardioverter-defibrillator Defibrillators Implantable Single centre Remote Sensing Technology Emergency medicine Equipment Failure Female France Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | Europace. 18:820-827 |
| ISSN: | 1532-2092 1099-5129 |
| Popis: | Aims Lead fractures in implantable cardioverter-defibrillator (ICD) patients may cause inappropriate shocks (ISs). An early diagnosis is essential to prevent adverse clinical events. Implantable cardioverter-defibrillator remote monitoring (RM) permits prompt detection of lead fracture. Limited data define the impact of RM on ISs specifically related to lead fracture. We sought to compare the number of ISs related to lead fracture in patients with vs. without RM follow-up. Methods and results We checked the registry of our institution and collected, between July 2007 and June 2014, 115 cases of right ventricular lead fractures. All relevant data were documented from patients' files, device-interrogation printouts and electronic records, and remote transmissions databases when applicable. We assessed the ISs that were related to lead fracture. The first study endpoint was the number of ISs per shocked patient. Among the 82 patients with conventional follow-up (CFU) and the 33 patients with RM, a first IS occurred to 32.9% ( n = 27) and 30.3% ( n = 10, P = 0.83) of the patients, respectively. Shocked patients in the RM group underwent significantly fewer ISs with a mean of 6 ± 2 shocks per patient [median of 3.5 shocks (2–8)] than those in the CFU group with a mean of 18 ± 5 shocks per patient [median of 10 shocks (5–22), P = 0.03]. Conclusion Remote monitoring helps to reduce the burden of ISs related to ICD lead fractures. |
| Databáze: | OpenAIRE |
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