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Active periodic electrograms in remote monitoring of pacemaker recipients: the PREMS study.
Lazarus, Arnaud; Guy-Moyat, Benoit; Mondoly, Pierre; Pons, Frédéric; Quaglia, Carlo; Elkaim, Jean-Philippe; Bayle, Sandrine; Victor, Frédéric.
Afiliación
  • Lazarus A; Rhythmology Unit, Clinique Ambroise Paré, 25-27 boulevard Victor Hugo, Neuilly-Sur-Seine, France.
  • Guy-Moyat B; Cardiology Unit, Centre Hospitalier Universitaire de Limoges, 2 avenue Martin Luther King, Limoges, France.
  • Mondoly P; Cardiology Unit, Centre Hospitalier Rangueil, 1 avenue du Pr Jean Poulhès, Toulouse, France.
  • Pons F; Cardiology Unit, Hôpital d'Instruction des Armées Saint-Anne, 2 boulevard Sainte-Anne, Toulon, France.
  • Quaglia C; Cardiology Unit, Centre Hospitalier de Roanne, 28 rue de Charlieu, Roanne, France.
  • Elkaim JP; Cardiology Unit, Centre Hospitalier de Douarnenez, 85 rue Laennec, Douarnenez, France.
  • Bayle S; Cardiology Unit, Centre Hospitalier Louis Pasteur, 4 rue Claude Bernard, Le Coudray, France.
  • Victor F; Cardiology Unit, Polyclinique Saint-Laurent, 320 avenue Général George S. Patton, Rennes, France.
Europace ; 21(1): 130-136, 2019 Jan 01.
Article en En | MEDLINE | ID: mdl-29955890
AIMS: Remote monitoring (RM) is considered as a standard of care for pacemaker recipients. Remote monitoring systems provide calendar-based intracardiac electrogram recordings (IEGM) only with the current pacemaker settings (passive IEGM). PREMS (Pacemaker Remote Electrogram Monitoring Study), an observational, multicentre trial, prospectively evaluated the clinical value of an active IEGM (aIEGM), including three 10-s sections (passive IEGM, encouraged sensing, and encouraged pacing), compared to other RM data and to its passive IEGM section. Secondary objectives included the added value of the aIEGM to fully assess the sensing and pacing functions of each lead. METHODS AND RESULTS: Patients were enrolled within 3 months after pacemaker implantation and followed until the first transmitted aIEGM, which was analysed together with all other RM data. In total, 567 patients were enrolled (79 ± 9 years, 62% men, 19% single-chamber, and 81% dual-chamber pacemakers). Of 547 aIEGMs transmitted in 547 patients, 161 [29.4%; 95% confidence interval (95% CI) 25.6-33.3%] indicated at least one anomaly non-detectable with certainty-or at all-on other RM data, including atrial arrhythmia, extrasystoles, undersensing, oversensing, and loss of capture. In 21.7% of cases the detected events deserved a corrective action. The sensing and pacing function of each lead could be fully assessed in 77.3% of aIEGM (95% CI 72.6-82.0%) vs. 15.5% (95% CI 11.4-19.6%) when considering only the passive IEGM section (P < 0.001). CONCLUSION: An active IEGM improves the clinical value of remote pacemaker follow-up. Furthermore, compared to a passive IEGM, the aIEGM increases the capability to fully assess remotely the sensing and pacing functions.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Marcapaso Artificial / Arritmias Cardíacas / Estimulación Cardíaca Artificial / Telemedicina / Técnicas Electrofisiológicas Cardíacas / Tecnología de Sensores Remotos Tipo de estudio: Clinical_trials / Observational_studies / Prognostic_studies Límite: Aged / Aged80 / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: Europace Asunto de la revista: CARDIOLOGIA / FISIOLOGIA Año: 2019 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Marcapaso Artificial / Arritmias Cardíacas / Estimulación Cardíaca Artificial / Telemedicina / Técnicas Electrofisiológicas Cardíacas / Tecnología de Sensores Remotos Tipo de estudio: Clinical_trials / Observational_studies / Prognostic_studies Límite: Aged / Aged80 / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: Europace Asunto de la revista: CARDIOLOGIA / FISIOLOGIA Año: 2019 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido