A value of periodic intracardiac electrograms used in the remote monitoring systems

Authors: Damrina E.V., Ilov N.N., Nechepurenko A.A.

Company: Federal Center for Cardiovascular Surgery of Ministry of Health of the Russian Federation; ulitsa Pokrovskaya roshcha, 4, Astrakhan', 414011, Russian Federation

For correspondence:  Sign in or register.


DOI: https://doi.org/10.15275/kreatkard.2016.03.05

For citation: Damrina E.V., Ilov N.N., Nechepurenko A.A.. A value of periodic intracardiac electrograms used in the remote monitoring systems. Kreativnaya Kardiologiya. 2016; 10 (3): 231-238 (in Russian)

Keywords: cardiac implantable electronic devices remote monitoring periodic intracardiac electrograms

Полнотекстовая версия:  

 

Abstract

Introduction. Remote monitoring systems (RMS) became a necessary attribute of effective management of patients with cardiac implantable electronic devices (CIED).
Material and methods. RMSs have a potential for sending the periodic intracardiac electrograms (PIEGMs). In our opinion, PIEGMs used in RMS are not paid enough attention in clinical practice. We conducted a singlecenter retrospective trial included 162 patients with dual (43%) and triple-chamber (57%) cardioverter-defibrillators to investigate a role of PIEGMs in remote follow-up of patients with CIED. RMSs were used in all cases. A total amount of 1109 PIEGMs received on servers of RMS from 20.08.13 to 10.06.16 were analyzed. We found R-wave oversensing (3 pts), Т-wave oversensing (2 pts), signs of lead failure (3 pts), high ventricular ectopy activity (4 pts), «slow» ventricular tachycardia with a cycle length below programmed parameters of detection (1 pt).
Results. The results of this research have revealed a diagnostic value of PIEGMs, that determines a necessity of its obligatory assessment during the analysis of RMS data.

References

  1. Илов Н.Н., Нечепуренко А.А., Дамрина Е.В., Куликова Е.А., Пальникова О.В., Грачев Е.В. Оптимизация работы Федерального Центра сердечно-сосудистой хирургии с помощью сис- темы удаленного мониторинга пациентов с им- плантированными антиаритмическими устрой- ствами. Вестник аритмологии. 2014; 78: 53–7 / Ilov N.N., Nechepurenko A.A., Damrina E.V., Kulikova E.A., Pal'nikova O.V., Grachev E.V. Optimization of activities of federal center of cardivascular surgery using the system of remote monitoring in patients with implanted antiarrhythmic devices. Vestnik aritmologii. 2014; 78: 53–7 (in Russ.).
  2. Schaldach M., Hutten H., Telecardiology-optimizing the diagnostic and therapeutic efficacy of the next implant generation. Prog. Biomed. Res. 1998; 3: 1–4.
  3. Бокерия О.Л., Испирян А.Ю. Мониторинг хро- нической сердечной недостаточности на дом. Анналы аритмологии. 2012; 2 (9): 14–22 / Bockeria O.L., Ispiryan A.Yu. Home monitoring of chronic heart failure. Annaly aritmologii. 2012; 2 (9): 14–22 (in Russ.).
  4.  Eisner C.H., Somme Ph., Piorkowski C., Táborsky M., Neuser H. Bytesnik J. et al. A Prospective multicenter comparison trial of home monitoring against regular follow-up in MADIT II patients: additional visits and cost impact. Comput. Cardiol. 2006; 33: 241–4.
  5. Ломидзе Н.Н., Хасанов И.Ш., Купцов В.В. Перспективы развития телемониторинга паци- ентов. Вестник аритмологии. 2016; 83: 44–51 / Lomidze N.N., Khasanov I.Sh., Kuptsov V.V. Future perspectives of telemonitoring of patients. Vestnik aritmologii. 2016; 83: 44–51 (in Russ.).
  6. Diemberger I., Gardini B., Martignani C., Ziacchi M., Corzani A., Biffi M. et al. Holter ECG for pacemaker/defibrillator carriers: what is its role in the era of remote monitoring? Heart. 2015; 101 (16): 1272–8.
  7. Kohno R., Abe H., Oginosawa Y., Tamura M., Takeuchi M., Nagatomo T. et al. Reliability and characteristics of atrial tachyarrhythmias detection in dual chamber pacemakers. Circ. J. 2011; 75: 1090–7.
  8. Wilson D.G., Leventigiannis G., Barr C., Morgan J.M. ECG predictors of T wave oversensing in subcutaneous implantable cardioverter defibrillators. Int. J. Cardiol. 2016; 23 (220): 27–31.
  9. Slotwiner D., Varma N., Akar J.G. et al. HRS Expert Consensus Statement on remote interrogation and monitoring for cardiovascular implantable electronic devices. Heart Rhythm. 2015; 12 (7): e69–95.

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, Director of Bakoulev National Medical Research Center for Cardiovascular Surgery