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Related Experiment Videos

Automatic atrial capture device control in real-life practice: A multicenter experience.

Massimo Giammaria1, Gianluca Quirino2, Mariangela Alberio3

  • 1Cardiology, Maria Vittoria Hospital, Turin, Italy.

Journal of Arrhythmia
|April 19, 2017
PubMed
Summary

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The ACAP Confirm® algorithm effectively manages atrial capture, showing increased reliability over time. This automatic pacing detection is accurate and useful for remote patient management.

Area of Science:

  • Cardiology
  • Biomedical Engineering
  • Medical Device Technology

Background:

  • Automatic pacing capture detection is crucial for remote patient care.
  • The ACAP Confirm® algorithm offers a new approach to managing atrial capture.

Purpose of the Study:

  • To evaluate the medium-term effectiveness of the ACAP Confirm® algorithm for atrial capture detection.
  • To compare its performance against early post-implantation testing.

Main Methods:

  • 318 patients (31 hospitals) underwent device implantation or replacement.
  • Atrial threshold measurements were performed manually and automatically.
  • Testing occurred pre-discharge and at medium-term follow-up (7±2 months).

Main Results:

Keywords:
AV, atrial–ventricularAlgorithmAutomaticityCRT, cardiac resynchronization therapyICDICD, implantable cardioverter defibrillatorPM, pacemakerPacemakerPacingSD, standard deviationSJM, St. Jude Medical

Related Experiment Videos

  • The algorithm achieved a 73% overall success rate.
  • Success rates were 65% pre-discharge and 88% at follow-up in implanted patients (p<0.001).
  • Manual and automatic threshold measurements showed no significant difference across pulse durations.

Conclusions:

  • The ACAP Confirm® algorithm is reliable for atrial capture detection, with improved accuracy over time.
  • Its performance is not influenced by atrial lead type but by time post-implantation.
  • The algorithm accurately detects atrial thresholds automatically, supporting remote care.