Key result
Automatic remote monitoring detects combined lead insulation failure and ICD defect post-implantation.
Why the study?
Lead and ICD device failure can occur without preceding signs of deterioration, posing a severe problem in ICD therapy.
Case Report (n=1)
Remote monitoring may detect silent ICD lead failure early; single-case evidence leaves open outcome benefits in routine practice.
Lead and implantable cardioverter defibrillator (ICD) device failure is a severe problem in ICD therapy and may occur without preceding signs of deterioration. Insulation lead failure and subsequent ICD defect 7 months after ICD implantation for secondary prevention of sudden cardiac death (SCD) in a 70-year-old male was automatically detected with the Home Monitoring system. Immediate lead and device replacement was performed. This case illustrates the benefit of permanent automatic remote monitoring of implanted active devices.
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Neuzil et al. (2008) conducted a case report in ICD therapy for secondary prevention of sudden cardiac death (n=1). Home Monitoring system (automatic remote monitoring) was evaluated on Detection of lead insulation failure and ICD defect. Automatic remote monitoring using the Home Monitoring system successfully detected combined lead insulation failure and ICD defect in a 70-year-old male 7 months post-implantation.
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