Towards eradication of inappropriate therapies for ICD lead failure by combining comprehensive remote monitoring and lead noise alerts

Ploux, Sylvain; Swerdlow, Charles D.; Strik, Marc; Welté, Nicolas; Klotz, Nicolas; Ritter, Philippe; Haı̈ssaguerre, Michel; Bordachar, Pierre

doi:10.1111/jce.13653

Cited by 21 publications

(20 citation statements)

References 21 publications

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“…Lead revision in 2017 would have prevented inappropriate shocks and the need to replace a depleted generator. These cases, thus, emphasize the importance of responding rapidly to lead alerts …”

Section: Discussionmentioning

confidence: 90%

Inappropriate disabling of an ICD noise‐detection algorithm in pacemaker‐dependent patients

Welté

Gang

Swerdlow

et al. 2018

Pacing Clinical Electrophis

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SecureSense is an implantable cardioverter defibrillator algorithm that differentiates lead‐related oversensing from ventricular tachycardia/ventricular fibrillation by continuous comparison between the near‐field (NF) and the far‐field (FF) electrogram. If lead noise is identified, inappropriate therapy is withheld. Undersensing on the FF channel could result in inappropriate inhibition of life‐saving therapy. Thus, the device automatically switches SecureSense to passive mode if undersensing on the FF channel is suspected. We report here the first cases of inappropriate automatic SecureSense deactivation due to misdiagnosed FF undersensing in pacemaker‐dependent patients. Physicians should be aware that SecureSense does not withhold an inappropriate therapy for sustained oversensing in pacemaker‐dependent patients.

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Section: Discussionmentioning

confidence: 90%

Inappropriate disabling of an ICD noise‐detection algorithm in pacemaker‐dependent patients

Welté

Gang

Swerdlow

et al. 2018

Pacing Clinical Electrophis

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“…2,6 Subsequently, it performed well in retrospective studies of other Medtronic leads 12 and leads from multiple manufacturers. 7,8,16 Our prospective data confirm 3 key aspects of LIA's performance previously reported in a retrospective cohort: 7 1) Most pace-sense lead failures are diagnosed by rapid, oversensing alone without impedance alerts, 2) LIA's oversensing criteria are insensitive to the cause of rapid oversensing, resulting in a low PPV when only oversensing criteria are triggered; and 3) LIA had a 100% PPV for lead failure for the few alerts in which the impedance criterion was triggered with an oversensing criterion. In a previous report, connection issues were shown to trigger LIA's impedance criterion.…”

Section: Individual Lead-monitoring Alertsmentioning

confidence: 99%

Clinical performance of implantable cardioverter-defibrillator lead monitoring diagnostics

et al. 2022

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“… Overview of remote monitoring systems. Reproduced with permission from Ploux et al (J Am Coll Cardiol EP, 2018) [ 5 ]. …”

Section: Figurementioning

confidence: 99%

Remote Monitoring of Heart Failure in Patients with Implantable Cardioverter-Defibrillators: Current Status and Future Needs

Theuns

Radhoe

Brugts

2021

Sensors

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The management of heart failure remains challenging despite evidence-based medical and pharmacological advances, especially in the ambulatory setting. There is an urgent need to develop strategies to reduce hospitalizations and readmission rates due to heart failure. Frequent monitoring of high-risk patients is imperative, and with the development of wireless and remote technology, frequent monitoring is now possible via remote monitoring. Nowadays, remote management of patients with cardiac implantable electronic devices is being increasingly adopted and integrated into clinical practice. Several clinical trials studied the impact of remote monitoring on clinical outcomes in patients with implantable cardioverter-defibrillators (ICDs) and cardiac resynchronization defibrillators (CRT-Ds). This point of view will focus on the remote monitoring of ICDs and CRT-Ds in patients with heart failure and discusses whether remote monitoring can be used as a potential instrument for the early identification of patients at risk of worsening heart failure.

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Towards eradication of inappropriate therapies for ICD lead failure by combining comprehensive remote monitoring and lead noise alerts

Abstract: ICD remote monitoring with systematic review of all transmitted data is associated with a very low rate of inappropriate shocks related to lead failure. Dedicated noise alerts further reduce inappropriate detection of ventricular arrhythmias.

Cited by 21 publications

References 21 publications

Inappropriate disabling of an ICD noise‐detection algorithm in pacemaker‐dependent patients

Inappropriate disabling of an ICD noise‐detection algorithm in pacemaker‐dependent patients

Clinical performance of implantable cardioverter-defibrillator lead monitoring diagnostics

Remote Monitoring of Heart Failure in Patients with Implantable Cardioverter-Defibrillators: Current Status and Future Needs

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