Callum Kara, Graune Claudia, Bowman Elizabeth, Molden Edward, Leslie Stephen J
Department of Cardiology, NHS Highland, Inverness IV2 3UJ, United Kingdom.
World J Cardiol. 2021 Mar 26;13(3):46-54. doi: 10.4330/wjc.v13.i3.46.
Implantable cardioverter defibrillators (ICDs) and cardiac resynchronisation therapy with defibrillators (CRT-D) reduce mortality in certain cardiac patient populations. However, inappropriate shocks pose a problem, having both adverse physical and psychological effects on the patient. The advances in device technology now allow remote monitoring (RM) of devices to replace clinic follow up appointments. This allows real time data to be analysed and actioned and this may improve patient care.
To determine if RM in patients with an ICD is associated with fewer inappropriate shocks and reduced time to medical assessment.
This was a single centre, retrospective observational study, involving 156 patients implanted with an ICD or CRT-D, followed up for 2 years post implant. Both appropriate and inappropriate shocks were recorded along with cause for inappropriate shocks and time to medical assessment.
RM was associated with fewer inappropriate shocks (13.6% clinic 3.9% RM; = 0.030) and a reduced time to medical assessment (15.1 ± 6.8 1.0 ± 0.0 d; < 0.001).
RM in patients with an ICD is associated with improved patient outcomes.
植入式心脏复律除颤器（ICD）和心脏再同步化治疗除颤器（CRT-D）可降低某些心脏病患者群体的死亡率。然而，不适当的电击会带来问题，对患者的身体和心理都有不良影响。设备技术的进步现在允许对设备进行远程监测（RM）以取代门诊随访预约。这使得能够对实时数据进行分析并采取行动，可能会改善患者护理。
确定ICD患者的远程监测是否与较少的不适当电击以及缩短医疗评估时间相关。
这是一项单中心回顾性观察研究，涉及156例植入ICD或CRT-D的患者，植入后随访2年。记录适当和不适当的电击情况以及不适当电击的原因和医疗评估时间。
远程监测与较少的不适当电击相关（门诊为13.6%，远程监测为3.9%；P = 0.030），且医疗评估时间缩短（15.1±6.8天对1.0±0.0天；P < 0.001）。
ICD患者的远程监测与改善患者预后相关。
