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A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation
Published on: February 28, 2012
Current and emerging indications for implantable cardiac monitors
Franco Giada1, Emanuele Bertaglia, Bernhard Reimers
1Cardiovascular Department, General Hospitals, Noale-Mirano, Venice, Italy. francogiada@hotmail.com
Pacing and Clinical Electrophysiology : PACE
|April 26, 2012
Summary
Implantable cardiac monitors (ICMs) provide continuous electrocardiogram monitoring for up to 36 months. These devices are increasingly used for evaluating symptomatic and asymptomatic arrhythmias, aiding in managing conditions like atrial fibrillation.
Area of Science:
- Cardiology
- Medical Devices
- Electrophysiology
Background:
- Implantable cardiac monitors (ICMs) offer continuous electrocardiogram (ECG) monitoring for up to 36 months.
- Current applications include evaluating transient symptoms suggestive of arrhythmias, such as syncope and palpitations.
- ICMs are also explored for epilepsy and unexplained falls, though indications are less defined.
Purpose of the Study:
- To highlight the evolving clinical utility of ICMs.
- To explore the potential of ICMs in assessing both symptomatic and asymptomatic arrhythmias.
- To discuss the emerging role of ICMs in managing specific cardiac conditions.
Main Methods:
- Continuous ECG monitoring by ICMs.
- Real-time analysis of heart rhythm.
- Automatic recording of arrhythmic episodes by new-generation devices.
Main Results:
- ICMs facilitate the evaluation of unexplained syncope and palpitations.
- New ICMs can automatically record arrhythmic episodes.
- Potential for long-term assessment of total arrhythmic burden in at-risk patients.
Conclusions:
- ICMs are valuable for diagnosing transient arrhythmic symptoms.
- Advanced ICMs enable the study of asymptomatic arrhythmias.
- ICMs show promise in managing atrial fibrillation and ventricular arrhythmias.
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