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Europace Advance Access originally published online on January 28, 2008
Europace 2008 10(5):556-557; doi:10.1093/europace/eun009
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

ICDs

Early automatic remote detection of combined lead insulation defect and ICD damage

Petr Neuzil*, Milos Taborsky, Frantisek Holy and Karsten Wallbrueck

Cardiology Department, Na Homolce Hospital, Roentgenova 2, Prague 5, Prague, Czech republic

Lead and implantable cardioverter defibrillator (ICD) device failure is a severe problem in ICD therapy and may occur without preceding signs of deterioration. Insulation lead failure and subsequent ICD defect 7 months after ICD implantation for secondary prevention of sudden cardiac death (SCD) in a 70-year-old male was automatically detected with the Home Monitoring system. Immediate lead and device replacement was performed. This case illustrates the benefit of permanent automatic remote monitoring of implanted active devices.

Key Words: Remote monitoring, Implantable cardioverter defibrillator, Lead failure, Device failure

* Corresponding author. Tel: +420 25727 3301; fax: +420 25727 2693. E-mail address: petr.neuzil{at}homolka.cz

Manuscript submitted 25 November 2007. Accepted after revision 3 January 2008.


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