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Europace Advance Access published online on June 7, 2006
Europace, doi:10.1093/europace/eul050
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© The European Society of Cardiology 2006. All rights reserved
Received October 25, 2005
Accepted March 18, 2006

Article

Remote detection of incessant slow VT with an ICD capable of home monitoring

Stephanos Siaplaouras 1 *, Axel Buob 1, Hans Ruprecht Neuberger 1, and Christian Mewis 1

1 Klinik für Innere Medizin III (Kardiologie, Angiologie und Internistische Intensivmedizin) Universitätsklinikum des Saarlandes, Kirrberger Strasse, D-66421 Homburg/Saar, Germany

* To whom correspondence should be addressed.
Stephanos Siaplaouras, E-mail: siaplaouras{at}aol.com


  Abstract

In this case report, we present a 57-year-old patient who suffered from incessant slow ventricular tachycardia because of a change in therapy 2 weeks after the implantation of an implantable cardioverter defibrillator (ICD) with Home Monitoring (HM). HM is a fully automatic and wireless system capable of transmitting device data including episode counters. The patient had mild symptoms with only short episodes of dizziness and would not have contacted the primary care centre. Due to HM, the arrhythmia was detected before the next routine follow-up, and the patient was seen the next day. HM made it possible to adjust the dosage of the newly established beta-blocker treatment in an outpatient setting and avoid hospitalization. HM yields the potential for remote detection of arrhythmias in ICD recipients, allowing alterations in device programming or medication.

Keywords: Home Monitoring; ICD.
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