Europace Advance Access originally published online on February 14, 2009
Europace 2009 11(4):489-494; doi:10.1093/europace/eup034
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Remote Monitoring
Remote implantable cardioverter defibrillator monitoring in a Brugada syndrome population
1 CHU de Bordeaux, Université Bordeaux II, France; 2 CHU de Nantes, Institut du thorax, Nantes, France
Aims: The diagnosis of Brugada syndrome (BS) is typically made in a young and otherwise healthy population. In patients with a high risk of sudden cardiac death (SCD), the only currently recommended therapy is an implantable cardioverter defibrillator (ICD), but these are not without complications. We investigated whether remote ICD monitoring could simplify follow-up and detect potential complications in these patients.
Methods and results: Thirty-five consecutive patients (26 males, 44 ± 11 years) implanted with an ICD for BS with a remote monitoring [‘Home Monitoring’ (HM), Biotronik, Germany] system were prospectively enrolled in this study. They were matched for age, sex, and follow-up duration with 35 BS patients implanted with an ICD without this capability. During a mean follow-up of 33 ± 17 months, the number of cardiology consultations was significantly lower in the HM group (3 ± 2 vs. 7 ± 3; P < 0.001). Inappropriate shock(s) [IS(s)] occurred in three patients (8.5%) in the HM group vs. six (17%) in the control group (P = NS). Ten patients in the HM group had a median of four alerts (‘ventricular tachycardia/ventricular fibrillation detection’ in all patients, ‘shock’ in three, ‘ineffective shock’ in two patients with shock on noise, ‘extreme ventricular pacing impedance’ in one patient due to lead failure, and ‘deactivated therapy’ in two patients with lead failure before replacement). In 5 of these 10 patients, prompt reprogramming of the ICD may have prevented IS(s).
Conclusion: Remote ICD monitoring in patients with BS decreases outpatient consultations and may help prevent ISs.
Key Words: Implantable cardioverter defibrillator, Home monitoring, Brugada syndrome
* Corresponding author. Tel: +33 5 57 65 64 01, Fax: +33 5 57 65 68 96, Email: frederic.sacher{at}chu-bordeaux.fr
Manuscript submitted 1 October 2008. Accepted after revision 20 January 2009.
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  H. Burri and D. Senouf Remote monitoring and follow-up of pacemakers and implantable cardioverter defibrillators Europace, June 1, 2009; 11(6): 701 - 709. [Abstract] [Full Text] [PDF]
|
|