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May 1, 2005EP EuropaceOpen Access

Automatic analysis of pacemaker diagnostic data in the identification of atrial tachyarrhythmias in patients with no prior history of them

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Key result

An expert system analyzing pacemaker diagnostic data detected new atrial tachyarrhythmias in 31% of patients with dual chamber devices and no prior history of these arrhythmias.

Why the study?

Does an expert system analyzing pacemaker diagnostic data improve the detection of atrial tachyarrhythmias in patients with dual chamber pacemakers and no prior history of atrial arrhythmias?

Population

239 patients with a dual chamber pacing device and no prior history of atrial arrhythmias.

Design

Cohort

Follow-up

at least two subsequent follow-up visits

Authors

ASAndreas SchuchertSLSerge LepageJOJack Ostrander

Discussion

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Overview

May support expert-system detection of occult atrial tachyarrhythmias in dual-chamber pacemaker patients; leaves open need for outcome trials before practice change.

Study Design

Type

Observational (n=239)

Structured PICO

Does an expert system analyzing pacemaker diagnostic data improve the detection of atrial tachyarrhythmias in patients with dual chamber pacemakers and no prior history of atrial arrhythmias?

P
Population
239 patients with a dual chamber pacing device and no prior history of atrial tachyarrhythmias, evaluated over at least two follow-up visits.
E
Exposure
Expert system that automatically analyzes pacemaker diagnostic data to notify and advise physicians about suspected technical issues and arrhythmias.
O
Outcome
Detection of atrial tachyarrhythmias and subsequent management changes (device programming and pharmacological adjustments).

An expert system analyzing pacemaker diagnostic data effectively identifies previously undiagnosed atrial tachyarrhythmias, frequently leading to actionable changes in pharmacological management.

Cite This Study

Schuchert et al. (2005) conducted an observational in Standard indications for pacing without prior history of atrial tachyarrhythmias (n=239). Expert system for pacemaker diagnostic data analysis was evaluated on Detection of atrial tachyarrhythmias. An expert system analyzing pacemaker diagnostic data detected new atrial tachyarrhythmias in 31% of patients with dual chamber devices and no prior history of these arrhythmias.

synapsesocial.com/papers/6a71be1efebe604dd70a42b1https://doi.org/10.1016/j.eupc.2005.01.005
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1<b>High Rate Atrial Tachyarrhythmia Detections in Implantable Pulse Generators</b>: Low Incidence of False‐Positive Detections2000 · 46 citations
  2. 2Prevalence of supraventricular arrhythmias from the automated analysis of data stored in the DDD pacemakers of 617 patients: the AIDA study1998 · 183 citations
  3. 3The use of permanent pacemakers in the detection of cardiac arrhythmias2001 · 22 citations
  4. 4Automatic Mode Switching of Implantable Pacemakers: II. Clinical Performance of Current Algorithms and Their Programming2002 · 40 citations
  5. 5Adverse Effect of Ventricular Pacing on Heart Failure and Atrial Fibrillation Among Patients With Normal Baseline QRS Duration in a Clinical Trial of Pacemaker Therapy for Sinus Node Dysfunction2003 · 1,792 citations