Méthodes de détection des troubles du rythme supraventriculaire par télésurveillance des défibrillateurs automatiques implantables et analyse de 2620 alertes monocentriques

Conclusion La télésurveillance propose une large variété d’alertes permettant la détection des TSV avec une relative hétérogénéité des différents systèmes. Des études complémentaires sont nécessaires afin d’apprendre à les programmer et à les utiliser dans les différentes populations de patients porteurs de DAI. Background Remote monitoring systems of implantable cardioverter defibrillators (ICD) offer automatics alerts in case of occurrence of supraventricular tachycardia (SVT). Aims To list all specific and nonspecific SVT alerts and describe their prevalence. Methods At first, the alerts notifying SVT were listed from their name appearing on the websites of the five remote monitoring systems that are: Home Monitoring™, Latitude Patient Management™, Carelink Network™, Merlin.net™ and Smartview™. They were then precisely defined. Nonspecific alerts of SVT that could be their indirect indicator were also listed. In a second step, 2620 alerts collected over a period of two years from September 2009 to September 2011 and originating from 456 single or dual chambers ICD and ICD equipped with a cardiac resynchronization therapy were analyzed. Results Five specific types of alerts and four nonspecific types of alerts have been listed. There was a relative heterogeneity within the remote monitoring systems regarding their name, their diagnostic criteria and their number. Their prevalence was 564 alerts for SVT (21 %) including 325 spe...
Source: European Research in Telemedicine - Category: Information Technology Source Type: research