We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
REACT DX registry: Real world REACTion to atrial high rate episodes detected in implantable cardioverter-defibrillator recipients with a DX lead.
- Authors
O'Connor, Matthew; Kolb, Christof; Klein, Norbert; Rauwolf, Thomas; Kuster, Stefan; Kääb, Stefan; Tilz, Roland Richard; Bänsch, Dietmar; Ince, Hüseyin; Belke, Roberto; Hauser, Tino; Rietsch, Katrin; Krämer, Jan F.; Wessel, Niels; Lennerz, Carsten
- Abstract
<bold>Background: </bold>Atrial fibrillation is associated with significant morbidity and is predicted by atrial high rate events. The early detection of AF is paramount to timely interventions to reduce the morbidity of AF. The DX ICD system combined with Home Monitoring® allows for continuous atrial rhythm monitoring without the need for a dedicated atrial lead.<bold>Objective: </bold>To establish the reaction to and timing of reactions to the detection of AHRE.<bold>Methods: </bold>A prospective cohort of DX ICD systems were followed up and the response to AHREs were collected and evaluated.<bold>Results: </bold>A total of 234 patients were enrolled; an AHRE ⩾ 6 min was detected in 13.7% of patients (n= 32) within a mean follow-up duration of 16 months. A high rate of OAC prescription was seen with the detection of AHREs in patients with a not-low risk CHA2DS2-VASc score. There was a delay in this prescription highlighting the potential to improve the timeliness of patient care in this group of patients.<bold>Conclusions: </bold>The DX ICD system provides rapid and ongoing atrial rhythm monitoring such that physicians are rapidly aware of AHRE without the need for a dedicated atrial lead, but local protocols are needed to improve the response time of anti-coagulation prescription.
- Subjects
DEFIBRILLATORS; IMPLANTABLE cardioverter-defibrillators; ATRIAL fibrillation; PHYSICIANS; PATIENT care
- Publication
Technology & Health Care, 2023, Vol 31, Issue 2, p735
- ISSN
0928-7329
- Publication type
journal article
- DOI
10.3233/THC-220432