Medizinische Universität Graz - Research portal
Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Nagel, B; Janousek, J; Koestenberger, M; Maier, R; Sauseng, W; Strenger, V; Gamillscheg, A; Zartner, P.
Remote monitoring leads to early recognition and treatment of critical arrhythmias in adults after atrial switch operation for transposition of the great arteries.
Circ J. 2014; 78(2):450-456
Doi: 10.1253/circj.CJ-13-0670
[OPEN ACCESS]
Web of Science
PubMed
FullText
FullText_MUG
- Leading authors Med Uni Graz
- Nagel Bert Hermann Philipp
- Co-authors Med Uni Graz
- Gamillscheg Andreas
- Koestenberger Martin
- Maier Robert
- Sauseng Werner
- Strenger Volker
- Altmetrics:
- Dimensions Citations:
- Plum Analytics:
- Scite (citation analytics):
- Abstract:
- Adults with transposition of the great arteries (TGA) after atrial switch repair have an increased risk for arrhythmia and sudden cardiac death. We analyzed whether a remote monitoring (RM) system as part of an implantable cardiac device contributes to timely recognition and improved treatment of critical arrhythmias in these patients. All consecutive TGA patients (n=11) requiring a pacemaker or cardiac resynchronization therapy with or without implantable cardioverter defibrillator between 2008 and 2011 were included. RM-detected arrhythmia, abnormality of device integrity and reaction time from event transmission until acknowledgement via email and clinical decision making were analyzed and compared to a control group (n=21). In 10 patients (91%) 17 arrhythmias were detected, 8 patients (80%) indicated no symptoms. In the RM group time interval from transmission to acknowledgement was 2.4 days (range, 0-4.5 days). Clinical decision-making was advanced by a mean of 77.5 days (range, 10-197 days) compared with conventional follow-up and identified adaption of anti-arrhythmic medication in 8, electrical cardioversion in 2, overdrive pacing in 1 and radiofrequency ablation in 2 patients. A coronary sinus lead fracture was identified in 1 patient followed by successful replacement. RM enables early detection of tachyarrhythmia followed by optimization of medical treatment and potentially life-saving anti-tachycardic intervention in adults after atrial repair of TGA.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Arrhythmias, Cardiac - diagnosis
- Arrhythmias, Cardiac - etiology
- Arrhythmias, Cardiac - physiopathology
- Arrhythmias, Cardiac - therapy
- Catheter Ablation -
- Defibrillators, Implantable -
- Electric Countershock -
- Female -
- Follow-Up Studies -
- Humans -
- Male -
- Remote Sensing Technology - instrumentation
- Remote Sensing Technology - methods
- Retrospective Studies -
- Transposition of Great Vessels - surgery
- Find related publications in this database (Keywords)
- Arrhythmia
- Cardiac resynchronization therapy
- Congenital heart disease
- Pacemaker