The role of daily implant-based multiparametric telemonitoring in patients with a ventricular assist device
- The telemonitoring of heart failure (HF) patients is becoming increasingly important. This study aimed to evaluate the benefit of telemonitoring in end-stage HF patients with a ventricular-assistance device (VAD). A total of 26 HF-patients (66 \(\pm\) 11 years, 88% male) on VAD therapy with an implantable cardioverter-defibrillator (ICD) or a cardiac resynchronization defibrillator (CRT-D) including telemonitoring function were enrolled. The long-term follow-up data (4.10 \(\pm\) 2.58 years) were assessed. All the patients (\(\it n\) = 26, 100%) received daily ICD/CRT-D telemonitoring. In most of the patients (73%, \(\it n\) = 19), the telemedical center had to take action for a mean of three times. An acute alert due to sustained ventricular arrhythmias (VAs) occurred in 12 patients (63%) with 50% of them (\(\it n\) = 6) requiring ICD shock delivery. Eight patients (67%) were hospitalized due to symptomatic VAs. In 11 patients (92%), immediate medication adjustments were recommended. Relevant lead issues were revealed in thirteen patients (50%), with six patients (46%) undergoing consecutive lead revisions. Most of the events (83%) were detected within 24 h. Daily telemonitoring significantly reduced the number of in-hospital device controls by 44% (\(\it p\) < 0.01). The telemonitoring ensured that cardiac arrhythmias and device/lead problems were identified early, allowing pre-emptive and prompt interventions. In addition, the telemonitoring significantly reduced the number of in-hospital device controls in this cohort of HF patients.
Author: | Denise GuckelORCiDGND, Mustapha El HamritiGND, Sebastian Rojas HernandezORCiDGND, Henrik FoxORCiDGND, Angelika Costard-JäckleORCiDGND, Jan GummertORCiDGND, Thomas FinkORCiDGND, Vanessa SciaccaORCiDGND, Khuraman IsgandarovaORCiDGND, Martin BraunGND, Moneeb KhalaphGND, Guram ImnadzeORCiDGND, René SchrammORCiDGND, Michiel MorshuisORCiDGND, Philipp SommerORCiDGND, Christian SohnsORCiDGND |
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URN: | urn:nbn:de:hbz:294-104175 |
DOI: | https://doi.org/10.3390/life13010038 |
Parent Title (English): | Life |
Publisher: | MDPI |
Place of publication: | Basel |
Document Type: | Article |
Language: | English |
Date of Publication (online): | 2023/10/30 |
Date of first Publication: | 2022/12/23 |
Publishing Institution: | Ruhr-Universität Bochum, Universitätsbibliothek |
Tag: | Open Access Fonds cardiac resynchronization therapy; heart failure; implantable cardioverter defibrillator; outcome; telemonitoring; ventricular assist device |
Volume: | 13 |
Issue: | 1, Article 38 |
First Page: | 38-1 |
Last Page: | 38-12 |
Note: | Article Processing Charge funded by the Deutsche Forschungsgemeinschaft (DFG) and the Open Access Publication Fund of Ruhr-Universität Bochum. |
Institutes/Facilities: | Herz- und Diabeteszentrum NRW |
Herz- und Diabeteszentrum NRW, Klinik für Elektrophysiologie/Rhythmologie | |
Dewey Decimal Classification: | Technik, Medizin, angewandte Wissenschaften / Medizin, Gesundheit |
open_access (DINI-Set): | open_access |
Licence (English): | Creative Commons - CC BY 4.0 - Attribution 4.0 International |