Key result
ICD home monitoring detects incessant slow VT to guide outpatient therapy and prevent hospitalization.
Case Report (n=1)
Remote home monitoring of ICDs can detect asymptomatic or mildly symptomatic arrhythmias early, enabling timely outpatient intervention and preventing hospitalization.
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Supports remote ICD monitoring for early slow VT detection in select cases; hypothesis-generating and requires prospective validation.
In this case report, we present a 57-year-old patient who suffered from incessant slow ventricular tachycardia because of a change in therapy 2 weeks after the implantation of an implantable cardioverter defibrillator (ICD) with Home Monitoring (HM). HM is a fully automatic and wireless system capable of transmitting device data including episode counters. The patient had mild symptoms with only short episodes of dizziness and would not have contacted the primary care centre. Due to HM, the arrhythmia was detected before the next routine follow-up, and the patient was seen the next day. HM made it possible to adjust the dosage of the newly established beta-blocker treatment in an outpatient setting and avoid hospitalization. HM yields the potential for remote detection of arrhythmias in ICD recipients, allowing alterations in device programming or medication.
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S. Siaplaouras (2006) conducted a case report in Incessant slow ventricular tachycardia (n=1). Home Monitoring (HM) via ICD was evaluated on Detection of arrhythmia and avoidance of hospitalization. Home Monitoring via an ICD successfully detected incessant slow ventricular tachycardia in a mildly symptomatic patient, allowing for outpatient medication adjustment and avoiding hospitalization.
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