Impact of remote monitoring on reducing the burden of inappropriate shocks related to implantable XXXX : insights from a French single-centre registry.

@entity737 @entity1 @entity174
AIMS: Lead @entity174 in @entity737 ( @entity737 ) @entity1 may cause inappropriate shocks (ISs). An early diagnosis is essential to prevent adverse clinical events. Implantable cardioverter-defibrillator remote monitoring (RM) permits prompt detection of lead @entity174 . Limited data define the impact of RM on ISs specifically related to lead @entity174 . We sought to compare the number of ISs related to lead @entity174 in @entity1 with vs. without RM follow-up. METHODS AND RESULTS: We checked the registry of our institution and collected, between July 2007 and June 2014, 115 cases of right @entity174 . All relevant data were documented from @entity1 ' files, device-interrogation printouts and electronic records, and remote transmissions databases when applicable. We assessed the ISs that were related to lead @entity174 . The first study endpoint was the number of ISs per shocked @entity1 . Among the 82 @entity1 with conventional follow-up (CFU) and the 33 @entity1 with RM, a first IS occurred to 32.9% (n = 27) and 30.3% (n = 10, P = 0.83) of the @entity1 , respectively. Shocked @entity1 in the RM group underwent significantly fewer ISs with a mean of 6    2 shocks per @entity1 [median of 3.5 shocks (2-8)] than those in the CFU group with a mean of 18    5 shocks per @entity1 [median of 10 shocks (5-22), P = 0.03]. CONCLUSION: Remote monitoring helps to reduce the burden of ISs related to @entity737 lead @entity174 .
