Key result
ICD remote monitoring excludes arrhythmic death in a sudden death case without postmortem interrogation.
Why the study?
Remote monitoring is useful in managing ICD patients for detecting arrhythmias and probable device or lead failure, including when a patient dies suddenly without postmortem ICD retrieval.
Case Report (n=1)
Demonstrates that specific manufacturer features of ICD remote monitoring systems can help exclude arrhythmic causes of sudden death even when the device is not retrieved postmortem.
Answers are grounded in this paper and cite their sources.
May help exclude arrhythmic death without device retrieval in select cases; leaves open broader utility of manufacturer features.
Remote monitoring is useful for management of implantable cardioverter defibrillator (ICD) patients regarding detection of arrhythmias and probable device or lead failure. We report the case of a patient who died suddenly while being on remote monitoring. The ICD was not retrieved postmortem. Even though clinical circumstances were suspicious of an arrhythmic death, this was excluded due to a distinctive manufacturer feature of the system.
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Schaer et al. (2011) conducted a case report in Patient with an implanted cardioverter defibrillator (ICD) who died suddenly (n=1). Remote monitoring of implantable cardioverter defibrillator (ICD) was evaluated on Exclusion of arrhythmic death. Remote monitoring of an implanted ICD with a distinctive manufacturer feature excluded arrhythmic death in 1 patient who died suddenly without postmortem device retrieval.
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