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Transmission and loss of ECG snapshots: Remote monitoring in implantable cardiac monitors

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00098892%3A_____%2F19%3AN0000144" target="_blank" >RIV/00098892:_____/19:N0000144 - isvavai.cz</a>

  • Result on the web

    <a href="https://www.sciencedirect.com/science/article/pii/S002207361930322X" target="_blank" >https://www.sciencedirect.com/science/article/pii/S002207361930322X</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1016/j.jelectrocard.2019.06.005" target="_blank" >10.1016/j.jelectrocard.2019.06.005</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Transmission and loss of ECG snapshots: Remote monitoring in implantable cardiac monitors

  • Original language description

    Introduction: Remote monitoring including transmission of electrocardiogram (ECG) strips has been implemented in implantable cardiac monitors (ICM). We appraise whether the physician can rely on remote monitoring to be informed of all possibly significant arrhythmias. Methods: We analyzed remote monitoring transmissions of patients in the ongoing BIO|GUARD-MI study, in which Biotronik devices are used. Once per day, the devices automatically transmit messages with up to six ECG snapshots to the Home Monitoring Service Center. If more than one type of arrhythmia is recorded during a day, at least one ECG of each arrhythmia type is transmitted. Results: 212 study patients were registered at the service center. The mean age of the patients was 70 ± 8 years, and 74% were male. Patients were followed for an average of 13 months. The median time from device implantation until the first message receipt in the service center was 2 days. The median patient-individual transmission success was 98.0% (IQR 93.6-99.8) and remained stable in the second and third year. The most frequent arrhythmias were atrial fibrillation, bradycardia and high ventricular rate. 17.3% of the messages with ECG snapshots contained more than one arrhythmia type. Discussion: Our analysis confirms that the physician can rely on Home Monitoring to be informed of all possibly significant arrhythmias during long-term follow-up. We have found hints that the transmission of only one episode per day may lead to the loss of clinically relevant information if patients with ICMs are followed by remote monitoring only.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30201 - Cardiac and Cardiovascular systems

Result continuities

  • Project

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2019

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    JOURNAL OF ELECTROCARDIOLOGY

  • ISSN

    0022-0736

  • e-ISSN

    1532-8430

  • Volume of the periodical

    56

  • Issue of the periodical within the volume

    September - October 2019

  • Country of publishing house

    US - UNITED STATES

  • Number of pages

    5

  • Pages from-to

    24-28

  • UT code for WoS article

    000491677800006

  • EID of the result in the Scopus database

    2-s2.0-85067570672