Skip to main content
SpringerLink
Log in

The role of remote monitoring in the reduction of inappropriate implantable cardioverter defibrillator therapies

  • Published:
Clinical Research in Cardiology Aims and scope Submit manuscript

Summary

Implantable cardioverter defibrillators (ICDs) with the integrated Home Monitoring feature use dedicated mobile phone and internet links to provide the physicians and technicians in the ICD clinic with the essential device- and arrhythmia-related data stored in the ICD diagnostic memory. Various counters, graphs and intracardiac electrograms are automatically transmitted via Home Monitoring each day to allow prompt, remote presentation of arrhythmias or detection of technical problems. One of the most inconvenient side-effects of the ICD therapy is inappropriate intervention of the device. Home Monitoring data can help the physician to identify and subsequently reduce the incidence of inappropriate ICD therapy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Bansch D, Steffgen F, Gronefeld G, Wolpert C, Bocker D, Mletzko RU, Schols W, Seidl K, Piel M, Ouyang F, Hohnloser SH, Kuck KH (2004) The 1+1 trial: a prospective trial of a dual-versus a single-chamber implantable defibrillator in patients with slow ventricular tachycardias. Circulation 110:1022–1029

    Article  PubMed  Google Scholar 

  2. Dorian P, Philippon F, Thibault B, Kimber S, Sterns L, Greene M, Newman D, Gelaznikas R, Barr A; ASTRID Investigators (2004) Randomized controlled study of detection enhancements vs rate-only detection to prevent inappropriate therapy in a dual-chamber implantable cardioverter-defibrillator. Heart Rhythm 1:540–547

    Article  PubMed  Google Scholar 

  3. Gradaus R, Block M, Brachmann J. Breithardt G, Huber HG, Jung W, Kranig W, Mletzko RU, Schoels W, Seidl K, Senges J, Seibels J, Steinbeck G, Stellbrink C, Andresen D; German EURID Registry (2003) Mortality, morbidity, and complications in 3344 patients with implantable cardioverter defibrillators: results from the German ICD Registry EURID. Pacing Clin Electrophysiol 26:1511–1518

    PubMed  Google Scholar 

  4. Grimm W, Flores BF, Marchlinski FE (1992) Electrocardiographically documented unnecessary, spontaneous shocks in 241 patients with implantable cardioverter defibrillators. Pacing Clin Electrophysiol 15:1667–1673

    CAS  PubMed  Google Scholar 

  5. Higgins SL (1999) Impact of the Multicenter Automatic Defibrillator Implantation Trial on implantable cardioverter defibrillator indication trends. Am J Cardiol 83:79D–82D

    Article  CAS  PubMed  Google Scholar 

  6. Hurwitz JL, Hook BG, Flores BT, Marchlinski FE (1993) Importance of abortive shock capability with electrogram storage in cardioverter-defibrillator devices. J Am Coll Cardiol 21:895–900

    CAS  PubMed  Google Scholar 

  7. Hutten H, Kastner P, Schreier G (1997) [Cardiac telemonitoring by joining near telemetry and internet transmission] Biomed Tech (Berl) 42 (Suppl):67–69

    Google Scholar 

  8. Koos R, Sinha AM, Stellbrink C (2005) Home Monitoring in an ICD patient with incessant ventricular tachycardia. Z Kardiol 94:461–464

    Article  CAS  PubMed  Google Scholar 

  9. Medtronic Website: http://www.medtronic.com/physician/carelink/index.html

  10. Neuser H, Schumacher B, Kottkamp H, Schmidinger H, Schuchert A, Brugada P (2004) Individualization of follow-up in implantable cardioverter-defibrillator patients with the help of automatic remote implantable cardioverter-defibrillator monitoring. (abstract) Eur Heart J 25 (Suppl Aug–Sept):166

    Google Scholar 

  11. Nunain SO, Roelke M, Trouton T, Osswald S, Kim YH, Sosa-Suarez G, Brooks DR, McGovern B, Guy M, Torchiana DF, Vlahakes GJ, Garan H, Ruskin JN (1995) Limitations and late complications of third-generation automatic cardioverter-defibrillators. Circulation 91:2204–2213

    CAS  PubMed  Google Scholar 

  12. Pedersen SS, van Domburg RT, Theuns DA, Jordaens L, Erdman RA (2005) Concerns about the implantable cardioverter defibrillator: a determinant of anxiety and depressive symptoms independent of experienced shocks. Am Heart J 149:664–669

    Article  PubMed  Google Scholar 

  13. Schmitt C, Montero M, Melichercik J (1994) Significance of supraventricular tachyarrhythmias in patients with implanted pacing cardioverter defibrillators. Pacing Clin Electrophysiol 17:295–302

    CAS  PubMed  Google Scholar 

  14. Scholten MF, Thornton AS, Theuns DA, Res J, Jordaens LJ (2004) Twiddler’s syndrome detected by Home Monitoring device. Pacing Clin Electrophysiol. 27:1151–1152

    Article  PubMed  Google Scholar 

  15. Sweeney MO, Wathen MS,Volosin K, Abdalla I, DeGroot PJ, Otterness MF, Stark AJ (2005) Appropriate and inappropriate ventricular therapies, quality of life, and mortality among primary and secondary prevention implantable cardioverter defibrillator patients: results from the Pacing Fast VT REduces Shock ThErapies (Pain-FREE Rx II) trial. Circulation 111:2898–2905

    CAS  PubMed  Google Scholar 

  16. Theuns DA, Klootwijk AP, Simoons ML, Jordaens JL (2005) Clinical variables predicting inappropriate use of implantable cardioverter-defibrillator in patients with coronary heart disease or nonischemic dilated cardiomyopathy. Am J Cardiol 95:271–274

    Article  PubMed  Google Scholar 

  17. Theuns DA, Klootwijk AP, Goedhart DM, Jordaens LJ (2004) Prevention of inappropriate therapy in implantable cardioverter-defibrillators: results of a prospective, randomized study of tachyarrhythmia detection algorithms. J Am Coll Cardiol 44:2362–2367

    Article  PubMed  Google Scholar 

  18. Theuns DA, Res JC, Jordaens LJ (2003) Home monitoring in ICD therapy: future perspectives. Europace 5:139–142

    Article  CAS  PubMed  Google Scholar 

  19. Wilkoff BL, Kuhlkamp V, Volosin K, Ellenbogen K, Waldecker B, Kacet S, Gillberg JM, DeSouza CM (2001) Critical analysis of dual-chamber implantable cardioverter-defibrillator arrhythmia detection: results and technical considerations. Circulation 103:381–386

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Electrophysiology, Erasmus Medical Center Rotterdam Ba 579, 2040, 3000 CA, Rotterdam, The Netherlands

    J. C. J. Res

Authors
  1. J. C. J. Res
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. D. A. M. J. Theuns
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. L. Jordaens
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to J. C. J. Res.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Res, J.C.J., Theuns, D.A.M.J. & Jordaens, L. The role of remote monitoring in the reduction of inappropriate implantable cardioverter defibrillator therapies. Clin Res Cardiol 95 (Suppl 3), iii17–iii21 (2006). https://doi.org/10.1007/s00392-006-1304-8

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00392-006-1304-8

Key words

Search

Navigation