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Real-time transmission to real-time patient care: a tale of 4 devices

Santabhanu Chakrabarti1, Annie Chou, Jason G Andrade

  • 1Division of Cardiology, University of British Columbia, Vancouver, British Columbia, Canada. schakrabarti@providencehealth.bc.ca

The Canadian Journal of Cardiology
|January 22, 2013
PubMed

Insights

A patient with dilated cardiomyopathy experienced syncope, but device logs showed no issues. Remote video consultation helped diagnose the implantable cardioverter defibrillator event, highlighting technology for remote device management.

Area of Science:

  • Cardiology
  • Medical Technology
  • Telemedicine

Background:

  • Dilated cardiomyopathy (DCM) is a significant cause of heart failure and sudden cardiac death.
  • Implantable cardioverter-defibrillators (ICDs) are crucial for managing arrhythmias in high-risk patients.
  • Device interrogation is standard for troubleshooting ICD function.

Observation:

  • A patient with DCM presented with syncope, seemingly treated by an ICD shock.
  • Device interrogation revealed no recorded tachyarrhythmia or shock delivery.
  • The discrepancy was resolved through remote consultation using live smartphone-transmitted images.

Findings:

  • The case demonstrated a non-arrhythmic event triggering an inappropriate ICD shock, not detected by standard interrogation.
  • Mobile phone-facilitated video conferencing enabled real-time remote assessment by an electrophysiologist.
  • This technology was key to unraveling the diagnostic mystery.

Implications:

  • Remote video consultation can be a powerful tool for urgent management of intracardiac device therapy.
  • Mobile technology offers effective and cost-efficient solutions for remote device-related emergencies.
  • This approach can improve patient care, especially in underserved or remote settings.

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