Home monitoring of implantable cardioverter-defibrillators:
interpretation reliability of the second-generation

J 2015

Home monitoring of implantable cardioverter-defibrillators: interpretation reliability of the second-generation "IEGM Online" system

NAGELE, Herbert; Jolana LIPOLDOVÁ; Hanno OSWALD; Gunnar KLEIN; Arif ELVAN et al.

Základní údaje

Originální název

Home monitoring of implantable cardioverter-defibrillators: interpretation reliability of the second-generation "IEGM Online" system

Autoři

Vydání

Europace, Oxford, Oxford University Press, 2015, 1099-5129

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30201 Cardiac and Cardiovascular systems

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 4.021

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/15:00086611

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

Implantable cardioverter-defibrillator; Intracardiac electrogram; Arrhythmia detection; Telemedicine; Remote monitoring; Home monitoring

Štítky

EL OK

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 15. 2. 2016 14:06, Soňa Böhmová

Anotace

V originále

Aims Intracardiac electrograms (IEGMs) are essential for the assessment of implantable cardioverter-defibrillator (ICD) function. The Biotronik Home Monitoring systems transmit an 'IEGM Online' that is shorter than the full-length programmer IEGM due to technical constrains. The aim of this study was to evaluate the accuracy of the physician's classification of the underlying rhythm based on the second-generation IEGM Online. Methods and results In total, 1533 patients treated with single-and dual-chamber ICDs and cardiac resynchronization therapy defibrillators were enrolled at 67 investigational sites and followed for 15 months. The investigators classified the rhythm shown in IEGM Online as ventricular tachycardia, ventricular fibrillation, atrial fibrillation, other supraventricular tachyarrhythmia, oversensing due to lead failure, T-wave oversensing, or other rhythm. At the next in-office follow-up, the investigators classified independently the rhythm seen in the corresponding programmer IEGM. The two rhythm classifications were compared thereafter. Both IEGM Online and programmer IEGM were available in 2099 arrhythmic or oversensing events, of which 146 (7.0%) were classified as other rhythm or artefacts and were excluded as inconclusive or atypical. The remaining 1953 events, affecting 352 patients (23.0%), were classified correctly in 1803 cases (92.3%). The accuracy of rough rhythm classification as ventricular, supraventricular, or oversensing was 97.2%. Conclusion The Lumax and IEGM Online HD Evaluation study demonstrates that remote IEGM analysis is reasonably accurate in a remote monitoring system that transmits shorter IEGM than the full-length programmer IEGM for the sake of frequent, fully automatic data transmission.

Citovat

NAGELE, Herbert; Jolana LIPOLDOVÁ; Hanno OSWALD; Gunnar KLEIN; Arif ELVAN; Ernst VESTER; Wolfgang NEUBAUER; Hansjürgen BONDKE; Sebastiaqn REIF; Claudia DAUB; Frank MENZEL; Jürgen SCHRADER a Göran ZACH. Home monitoring of implantable cardioverter-defibrillators: interpretation reliability of the second-generation "IEGM Online" system. Europace. Oxford: Oxford University Press, 2015, roč. 17, č. 4, s. 584-590. ISSN 1099-5129. Dostupné z: https://doi.org/10.1093/europace/euu349.

@article{1335826,
   author = {Nagele, Herbert and Lipoldová, Jolana and Oswald, Hanno and Klein, Gunnar and Elvan, Arif and Vester, Ernst and Neubauer, Wolfgang and Bondke, Hansjürgen and Reif, Sebastiaqn and Daub, Claudia and Menzel, Frank and Schrader, Jürgen and Zach, Göran},
   article_location = {Oxford},
   article_number = {4},
   doi = {https://doi.org/10.1093/europace/euu349},
   keywords = {Implantable cardioverter-defibrillator; Intracardiac electrogram; Arrhythmia detection; Telemedicine; Remote monitoring; Home monitoring},
   language = {eng},
   issn = {1099-5129},
   journal = {Europace},
   title = {Home monitoring of implantable cardioverter-defibrillators: interpretation reliability of the second-generation "IEGM Online" system},
   volume = {17},
   year = {2015}
}

TY  - JOUR
ID  - 1335826
AU  - Nagele, Herbert - Lipoldová, Jolana - Oswald, Hanno - Klein, Gunnar - Elvan, Arif - Vester, Ernst - Neubauer, Wolfgang - Bondke, Hansjürgen - Reif, Sebastiaqn - Daub, Claudia - Menzel, Frank - Schrader, Jürgen - Zach, Göran
PY  - 2015
TI  - Home monitoring of implantable cardioverter-defibrillators: interpretation reliability of the second-generation "IEGM Online" system
JF  - Europace
VL  - 17
IS  - 4
SP  - 584-590
EP  - 584-590
PB  - Oxford University Press
SN  - 10995129
KW  - Implantable cardioverter-defibrillator
KW  - Intracardiac electrogram
KW  - Arrhythmia detection
KW  - Telemedicine
KW  - Remote monitoring
KW  - Home monitoring
N2  - Aims Intracardiac electrograms (IEGMs) are essential for the assessment of implantable cardioverter-defibrillator (ICD) function. The Biotronik Home Monitoring systems transmit an 'IEGM Online' that is shorter than the full-length programmer IEGM due to technical constrains. The aim of this study was to evaluate the accuracy of the physician's classification of the underlying rhythm based on the second-generation IEGM Online. Methods and results In total, 1533 patients treated with single-and dual-chamber ICDs and cardiac resynchronization therapy defibrillators were enrolled at 67 investigational sites and followed for 15 months. The investigators classified the rhythm shown in IEGM Online as ventricular tachycardia, ventricular fibrillation, atrial fibrillation, other supraventricular tachyarrhythmia, oversensing due to lead failure, T-wave oversensing, or other rhythm. At the next in-office follow-up, the investigators classified independently the rhythm seen in the corresponding programmer IEGM. The two rhythm classifications were compared thereafter. Both IEGM Online and programmer IEGM were available in 2099 arrhythmic or oversensing events, of which 146 (7.0%) were classified as other rhythm or artefacts and were excluded as inconclusive or atypical. The remaining 1953 events, affecting 352 patients (23.0%), were classified correctly in 1803 cases (92.3%). The accuracy of rough rhythm classification as ventricular, supraventricular, or oversensing was 97.2%. Conclusion The Lumax and IEGM Online HD Evaluation study demonstrates that remote IEGM analysis is reasonably accurate in a remote monitoring system that transmits shorter IEGM than the full-length programmer IEGM for the sake of frequent, fully automatic data transmission.
ER  -

NAGELE, Herbert; Jolana LIPOLDOVÁ; Hanno OSWALD; Gunnar KLEIN; Arif ELVAN; Ernst VESTER; Wolfgang NEUBAUER; Hansjürgen BONDKE; Sebastiaqn REIF; Claudia DAUB; Frank MENZEL; Jürgen SCHRADER a Göran ZACH. Home monitoring of implantable cardioverter-defibrillators: interpretation reliability of the second-generation ''IEGM Online'' system. \textit{Europace}. Oxford: Oxford University Press, 2015, roč.~17, č.~4, s.~584-590. ISSN~1099-5129. Dostupné z: https://doi.org/10.1093/europace/euu349.

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