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Telemonitoring with Electronic Devices in Patients with a Single Ventricle Anatomy
Background A growing number of patients with a single ventricle anatomy, who had a Fontan palliation as a child, are now reaching adulthood. Many need an epimyocardial pacemaker system with an optional telemonitoring (TM) unit, which evaluates the collected data and sends it via Internet to the pat...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Georg Thieme Verlag KG
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8672881/ https://www.ncbi.nlm.nih.gov/pubmed/34891178 http://dx.doi.org/10.1055/s-0041-1735479 |
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author | Zartner, Peter A. Mini, Nathalie Momcilovic, Diana Schneider, Martin B. Dittrich, Sven |
author_facet | Zartner, Peter A. Mini, Nathalie Momcilovic, Diana Schneider, Martin B. Dittrich, Sven |
author_sort | Zartner, Peter A. |
collection | PubMed |
description | Background A growing number of patients with a single ventricle anatomy, who had a Fontan palliation as a child, are now reaching adulthood. Many need an epimyocardial pacemaker system with an optional telemonitoring (TM) unit, which evaluates the collected data and sends it via Internet to the patient's physician. There are no data on the reliability and clinical relevance of these systems in this patient group. Methods We analyzed data in 48 consecutive patients (mean age 18 years, standard deviation 9 years) with a Fontan or Fontan-like palliation who received a cardiac implantable electronic device with a TM unit from Biotronik (Home Monitoring) or Medtronic (CareLink) between 2005 and 2020 with regard to the reliability and clinical relevance of the downloaded data. Results The observation period was from 4 months to 14 years (mean 7 years, standard deviation 3.9 years). A total of 2.9 event messages (EMs)/patient/month and 1.3 intracardiac electrogram recordings/patient/month were received. Two patients died during follow-up. The combination of regularly arriving statistical data and 313 clinically relevant EMs led to the modification of antiarrhythmic or diuretic medication, hospitalization with cardioversion or ablation, and cortisone therapy to avoid exit block in 21 (44%) patients. Conclusion TM is an instrument to receive functional and physiologic parameters of our Fontan patients. It provides the ability to respond early for signs of system failure, or arrhythmia, even if the patient is not experiencing any problems. It is a useful tool to manage this difficult patient population without frequent hospital visits. |
format | Online Article Text |
id | pubmed-8672881 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Georg Thieme Verlag KG |
record_format | MEDLINE/PubMed |
spelling | pubmed-86728812021-12-16 Telemonitoring with Electronic Devices in Patients with a Single Ventricle Anatomy Zartner, Peter A. Mini, Nathalie Momcilovic, Diana Schneider, Martin B. Dittrich, Sven Thorac Cardiovasc Surg Background A growing number of patients with a single ventricle anatomy, who had a Fontan palliation as a child, are now reaching adulthood. Many need an epimyocardial pacemaker system with an optional telemonitoring (TM) unit, which evaluates the collected data and sends it via Internet to the patient's physician. There are no data on the reliability and clinical relevance of these systems in this patient group. Methods We analyzed data in 48 consecutive patients (mean age 18 years, standard deviation 9 years) with a Fontan or Fontan-like palliation who received a cardiac implantable electronic device with a TM unit from Biotronik (Home Monitoring) or Medtronic (CareLink) between 2005 and 2020 with regard to the reliability and clinical relevance of the downloaded data. Results The observation period was from 4 months to 14 years (mean 7 years, standard deviation 3.9 years). A total of 2.9 event messages (EMs)/patient/month and 1.3 intracardiac electrogram recordings/patient/month were received. Two patients died during follow-up. The combination of regularly arriving statistical data and 313 clinically relevant EMs led to the modification of antiarrhythmic or diuretic medication, hospitalization with cardioversion or ablation, and cortisone therapy to avoid exit block in 21 (44%) patients. Conclusion TM is an instrument to receive functional and physiologic parameters of our Fontan patients. It provides the ability to respond early for signs of system failure, or arrhythmia, even if the patient is not experiencing any problems. It is a useful tool to manage this difficult patient population without frequent hospital visits. Georg Thieme Verlag KG 2021-12-10 /pmc/articles/PMC8672881/ /pubmed/34891178 http://dx.doi.org/10.1055/s-0041-1735479 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited. |
spellingShingle | Zartner, Peter A. Mini, Nathalie Momcilovic, Diana Schneider, Martin B. Dittrich, Sven Telemonitoring with Electronic Devices in Patients with a Single Ventricle Anatomy |
title | Telemonitoring with Electronic Devices in Patients with a Single Ventricle
Anatomy |
title_full | Telemonitoring with Electronic Devices in Patients with a Single Ventricle
Anatomy |
title_fullStr | Telemonitoring with Electronic Devices in Patients with a Single Ventricle
Anatomy |
title_full_unstemmed | Telemonitoring with Electronic Devices in Patients with a Single Ventricle
Anatomy |
title_short | Telemonitoring with Electronic Devices in Patients with a Single Ventricle
Anatomy |
title_sort | telemonitoring with electronic devices in patients with a single ventricle
anatomy |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8672881/ https://www.ncbi.nlm.nih.gov/pubmed/34891178 http://dx.doi.org/10.1055/s-0041-1735479 |
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