Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Zartner, Peter A., Mini, Nathalie, Momcilovic, Diana, Schneider, Martin B., Dittrich, Sven
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2021
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
_version_ 1784615431314604032
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
work_keys_str_mv AT zartnerpetera telemonitoringwithelectronicdevicesinpatientswithasingleventricleanatomy
AT mininathalie telemonitoringwithelectronicdevicesinpatientswithasingleventricleanatomy
AT momcilovicdiana telemonitoringwithelectronicdevicesinpatientswithasingleventricleanatomy
AT schneidermartinb telemonitoringwithelectronicdevicesinpatientswithasingleventricleanatomy
AT dittrichsven telemonitoringwithelectronicdevicesinpatientswithasingleventricleanatomy