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Statements

Subject Item
n2:RIV%2F00159816%3A_____%2F13%3A00060799%21RIV14-MZ0-00159816
rdf:type
n15:Vysledek skos:Concept
dcterms: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.
dcterms: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
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
skos:notation
RIV/00159816:_____/13:00060799!RIV14-MZ0-00159816
n15:predkladatel
n18:ico%3A00159816
n3:aktivita
n8:P n8:I
n3:aktivity
I, P(ED1.100/02/0123)
n3:cisloPeriodika
3
n3:dodaniDat
n4:2014
n3:domaciTvurceVysledku
n11:7144164 n11:9666982 n11:6491243
n3:druhVysledku
n10:J
n3:duvernostUdaju
n14:S
n3:entitaPredkladatele
n19:predkladatel
n3:idSjednocenehoVysledku
66927
n3:idVysledku
RIV/00159816:_____/13:00060799
n3:jazykVysledku
n17:eng
n3:klicovaSlova
Inappropriate shocks; Implantable; Home monitoring; Cardioverter-defibrillator
n3:klicoveSlovo
n12:Inappropriate%20shocks n12:Implantable n12:Home%20monitoring n12:Cardioverter-defibrillator
n3:kodStatuVydavatele
CZ - Česká republika
n3:kontrolniKodProRIV
[B74EE3874707]
n3:nazevZdroje
Cor et Vasa
n3:obor
n16:FA
n3:pocetDomacichTvurcuVysledku
3
n3:pocetTvurcuVysledku
3
n3:projekt
n9:ED1.100%2F02%2F0123
n3:rokUplatneniVysledku
n4:2013
n3:svazekPeriodika
55
n3:tvurceVysledku
Lipoldová, Jolana Novák, Miroslav Vyskočilová, Klaudia
s:issn
0010-8650
s:numberOfPages
4
n5:doi
10.1016/j.crvasa.2012.12.003