About: Contribution of remote monitoring to the early diagnosis of implantable cardioverter-defibrillator shocks in the patient with cardiac resynchronisation therapy

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About: Contribution of remote monitoring to the early diagnosis of implantable cardioverter-defibrillator shocks in the patient with cardiac resynchronisation therapy Goto Sponge NotDistinct Permalink

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rdf:type	skos:Concept http://linked.opendata.cz/ontology/domain/vavai/Vysledek
Description	We present the case of a 68-year-old man with coronary artery disease and a history of recurrent myocardial infarctions, having left ventricular ejection fraction 25% in NYHA functional class III. The patient received a biventricular cardioverter-defibrillator (ICD) Biotronik Lumax 340 HF-T in November 2008 from the primary prophylactic indication. Remote monitoring using the Biotronik Home MonitoringTM (HM) system was activated since device implantation. Up to April 2012 the patient received five shocks including 3 appropriate VF therapies and 2 inappropriate ICD shocks (due to T-wave oversensing and atrial flutter degenerating to VF after ATPs). All arrhythmic events were promptly detected by the HM system with a rapid consequent pharmacological and non-pharmacological intervention (radiofrequency catheter ablation of atrial arrhythmia and reprogramming the device). This case points out that prophylactic ICD implantation is a justifiable method for the prevention of arrhythmic death in high-risk patients and HM significantly helps in the early recognition of inappropriate ICD therapy. We present the case of a 68-year-old man with coronary artery disease and a history of recurrent myocardial infarctions, having left ventricular ejection fraction 25% in NYHA functional class III. The patient received a biventricular cardioverter-defibrillator (ICD) Biotronik Lumax 340 HF-T in November 2008 from the primary prophylactic indication. Remote monitoring using the Biotronik Home MonitoringTM (HM) system was activated since device implantation. Up to April 2012 the patient received five shocks including 3 appropriate VF therapies and 2 inappropriate ICD shocks (due to T-wave oversensing and atrial flutter degenerating to VF after ATPs). All arrhythmic events were promptly detected by the HM system with a rapid consequent pharmacological and non-pharmacological intervention (radiofrequency catheter ablation of atrial arrhythmia and reprogramming the device). This case points out that prophylactic ICD implantation is a justifiable method for the prevention of arrhythmic death in high-risk patients and HM significantly helps in the early recognition of inappropriate ICD therapy. (en)
Title	Contribution of remote monitoring to the early diagnosis of implantable cardioverter-defibrillator shocks in the patient with cardiac resynchronisation therapy Contribution of remote monitoring to the early diagnosis of implantable cardioverter-defibrillator shocks in the patient with cardiac resynchronisation therapy (en)
skos:prefLabel	Contribution of remote monitoring to the early diagnosis of implantable cardioverter-defibrillator shocks in the patient with cardiac resynchronisation therapy Contribution of remote monitoring to the early diagnosis of implantable cardioverter-defibrillator shocks in the patient with cardiac resynchronisation therapy (en)
skos:notation	RIV/00159816:_____/13:00060799!RIV14-MZ0-00159816
http://linked.open...avai/riv/aktivita	I P
http://linked.open...avai/riv/aktivity	I, P(ED1.100/02/0123)
http://linked.open...iv/cisloPeriodika	3
http://linked.open...vai/riv/dodaniDat	2014
http://linked.open...aciTvurceVysledku	Lipoldová, Jolana Novák, Miroslav Židová, Klaudia
http://linked.open.../riv/druhVysledku	J - Článek v odborném periodiku
http://linked.open...iv/duvernostUdaju	S - Úplné a pravdivé údaje nepodléhající ochraně podle zvláštních právních předpisů
http://linked.open...titaPredkladatele	Fakultní nemocnice u sv.Anny v Brně
http://linked.open...dnocenehoVysledku	66927
http://linked.open...ai/riv/idVysledku	RIV/00159816:_____/13:00060799
http://linked.open...riv/jazykVysledku	eng - angličtina
http://linked.open.../riv/klicovaSlova	Inappropriate shocks; Implantable; Home monitoring; Cardioverter-defibrillator (en)
http://linked.open.../riv/klicoveSlovo	Cardioverter-defibrillator Home monitoring Implantable Inappropriate shocks
http://linked.open...odStatuVydavatele	CZ - Česká republika
http://linked.open...ontrolniKodProRIV	[B74EE3874707]
http://linked.open...i/riv/nazevZdroje	Cor et Vasa
http://linked.open...in/vavai/riv/obor	FA
http://linked.open...ichTvurcuVysledku	3 (xsd:int)
http://linked.open...cetTvurcuVysledku	3 (xsd:int)
http://linked.open...vavai/riv/projekt	St. Anne´s University Hospital Brno - International Clinical Research Center (FNUSA-ICRC)
http://linked.open...UplatneniVysledku	2013
http://linked.open...v/svazekPeriodika	55
http://linked.open...iv/tvurceVysledku	Novák, Miroslav Lipoldová, Jolana Vyskočilová, Klaudia
issn	0010-8650
number of pages	4 (xsd:int)
http://bibframe.org/vocab/doi	10.1016/j.crvasa.2012.12.003

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