Lead integrity alert algorithm decreases inappropriate shocks in patients who have Sprint Fidelis pace-sense conductor fractures
Abstract
Background The Medtronic Sprint Fidelis high-voltage implantable cardioverter-defibrillator (ICD) lead is prone to fracture. The majority of fractures involve the pace-sense (P/S) conductors and may result in multiple inappropriate shocks. The Medtronic lead integrity alert (LIA) algorithm was designed to improve early detection of transient P/S conductor fractures and to decrease the incidence and number of inappropriate shocks.Objective The purpose of this prospective single-center study was to assess the effectiveness of the LIA algorithm for warning patients of an impending Sprint Fidelis P/S conductor fracture and for decreasing the incidence and number of inappropriate shocks.Methods The study population included all patients who had Sprint Fidelis leads and Medtronic ICD pulse generators that were implanted and followed at the Minneapolis Heart Institute. Patients were evaluated in the clinic every 3 to 4 months or by remote monitoring using the Medtronic CareLink system. When the LIA algorithm was released in August 2008, the RAMware was downloaded to the pulse generator of all patients with the Sprint Fidelis lead. Patients and family members received educational materials and were given a demonstration of the audible alerts.Results Between October 2004 and January 2010, 52 (11.3%) of 461 Sprint Fidelis leads failed in the study population. Inappropriate shocks were the first sign of lead failure in 18 (69%) of the 26 patients who did not have the LIA compared to 4 (17%) of 23 patients who had the LIA (P = .0004). Patients who experienced inappropriate shocks without the LIA received an average of 13.2 +/- 13.6 inappropriate shocks (range 2-54) versus 3.0 +/- 2.0 inappropriate shocks (range 2-6) in patients who had the LIA (P = .017). The audible alert was effective in 70% (16/23) and 35% (6/17) of patients with and without the LIA, respectively, whose alerts were programmed ON (P = .053). Overall, 8 (32%) of 25 patients whose audible alerts were triggered did not immediately hear or recognize the tone.Conclusion The LIA appears to be an effective method for detecting most Sprint Fidelis lead fractures and for decreasing the incidence and number of inappropriate shocks. However, a better method for alerting patients and caregivers is needed.
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Prospective although smaller studies have also demonstrated that lead integrity alerts decrease shocks.
“Prospective although smaller studies have also demonstrated that lead integrity alerts decrease shocks.75”
From Managing with pacemakers and implantable cardioverter defibrillators (2013) · cites this paper as [75]
Cites
Wilkoff, B. L., Williamson, B. D., Stern, R. S., Moore, S. L., Lü, F., Lee, S. W., Birgersdotter-Green, U. M., Wathen, M. S., Gelder, I. C. V., Heubner, B. M., et al. (2008) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2008.05.011 · Cited by 549 · see citing works
Early failure of a small-diameter high-voltage implantable cardioverter-defibrillator lead
Hauser, R. G., Kallinen, L. M., Almquist, A. K., Gornick, C. C., & Katsiyiannis, W. T. (2007) · Heart Rhythm · doi:10.1016/j.hrthm.2007.03.041 · Cited by 246 · see citing works
Self-citationIncreasing hazard of Sprint Fidelis implantable cardioverter-defibrillator lead failure
Hauser, R. G., & Hayes, D. L. (2009) · Heart Rhythm · doi:10.1016/j.hrthm.2009.02.024 · Cited by 152 · see citing works
Self-citationSwerdlow, C. D., Gunderson, B. D., Ousdigian, K. T., Abeyratne, A., Stadler, R. W., Gillberg, J. M., Patel, A. S., & Ellenbogen, K. A. (2008) · Circulation · doi:10.1161/circulationaha.108.796136 · Cited by 141 · see citing works
Kallinen, L. M., Hauser, R. G., Lee, K. W., Almquist, A. K., Katsiyiannis, W. T., Tang, C. Y., Melby, D. P., & Gornick, C. C. (2008) · Heart Rhythm · doi:10.1016/j.hrthm.2008.02.039 · Cited by 92 · see citing works
Self-citationKrahn, A. D., Champagne, J., Healey, J. S., Cameron, D., Simpson, C. S., Thibault, B., Mangat, I., Tung, S., Sterns, L. D., BIRNIE, D. H., et al. (2008) · Heart Rhythm · doi:10.1016/j.hrthm.2008.01.029 · Cited by 82 · see citing works
Accelerating risk of Fidelis lead fracture
Farwell, D. J., Green, M. S., Lemery, R., Gollob, M. H., & Birnie, D. H. (2008) · Heart Rhythm · doi:10.1016/j.hrthm.2008.06.024 · Cited by 79 · see citing works
An algorithm to predict implantable cardioverter-defibrillator lead failure
Gunderson, B. D., Patel, A. S., Bounds, C. A., Shepard, R. K., Wood, M. A., & Ellenbogen, K. A. (2004) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2004.07.042 · Cited by 69 · see citing works
Patient alert in implantable cardioverter defibrillators: toy or tool?
Becker, R., Ruf-Richter, J., Senges–Becker, J. C., Bauer, A., Weretka, S., Voss, F., Katus, H. A., & Schoels, W. (2004) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2004.03.051 · Cited by 56 · see citing works
Gunderson, B. D., Gillberg, J. M., Wood, M. A., Vijayaraman, P., Shepard, R. K., & Ellenbogen, K. A. (2006) · Heart Rhythm · doi:10.1016/j.hrthm.2005.11.009 · Cited by 53 · see citing works
Time-Dependent Risk of Fidelis Lead Failure
Faulknier, B. A., Traub, D. M., Aktaş, M. K., Aguila, A., Rosero, S. Z., Daubert, J. P., HALL, B. W., Shah, A. M., Taylor, S., McNitt, S. A., et al. (2009) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2009.08.655 · Cited by 45 · see citing works
Gunderson, B. D., Abeyratne, A., Olson, W. H., & Swerdlow, C. D. (2007) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.2007.00644.x · Cited by 34 · see citing works
Alert Tones Are Frequently Inaudible among Patients with Implantable Cardioverter‐Defibrillators
SIMONS, E. C., FEIGENBLUM, D. Y., Nemirovsky, D., & Simons, G. R. (2009) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.2009.02480.x · Cited by 30 · see citing works
Characteristics of Sprint Fidelis lead failure.
Beukema, R. J., Misier, A. R. R., Delnoy, P. P. H. M., Smit, J. J. J., & Elvan, A. (2010) · PubMed Central · Cited by 18 · see citing works
Implementation of Lead Safety Recommendations
van Rees, J. B., Borleffs, C. J. W., Bax, J. J., Nagtegaal, E. M., van der Velde, E. T., van Erven, L., & Schalij, M. J. (2009) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.2009.02622.x · Cited by 16 · see citing works
Multiple ICD Discharges Associated with Lead Fracture Without Triggering of High Impedance Alert
Donaldson, D. M., Singh, J. P., Heist, E. K., Mela, T., Ruskin, J. N., & Das, S. (2009) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.2009.02318.x · Cited by 8 · see citing works
Flagged first, then by citations
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Dubner, S., Auricchio, A., Steinberg, J. S., Vardas, P. E., Stone, P. H., Brugada, J., Piotrowicz, R., Hayes, D. L., Kirchhof, P. F., BREITHARDT, G. E., et al. (2012) · EP Europace · doi:10.1093/europace/eur303 · Cited by 178 · see citing works
Clinical Predictors of Fidelis Lead Failure
BIRNIE, D. H., Parkash, R., Exner, D. V., Essebag, V., Healey, J. S., Verma, A., Coutu, B., Kuś, T., Mangat, I., Paredes, F. A., et al. (2012) · Circulation · doi:10.1161/circulationaha.111.053744 · Cited by 112 · see citing works
Swerdlow, C. D., Gunderson, B. D., Ousdigian, K. T., Abeyratne, A., Sachanandani, H., & Ellenbogen, K. A. (2010) · Circulation · doi:10.1161/circulationaha.110.962407 · Cited by 99 · see citing works
Optimal Programming of Implantable Cardiac-Defibrillators
Madhavan, M., & Friedman, P. A. (2013) · Circulation · doi:10.1161/circulationaha.112.000542 · Cited by 69 · see citing works
Swerdlow, C. D., Sachanandani, H., Gunderson, B. D., Ousdigian, K. T., Hjelle, M., & Ellenbogen, K. A. (2011) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2010.12.042 · Cited by 60 · see citing works
Implantable Cardioverter-Defibrillator Leads
Swerdlow, C. D., & Ellenbogen, K. A. (2013) · Circulation · doi:10.1161/circulationaha.113.003920 · Cited by 54 · see citing works
Dubner, S., Auricchio, A., Steinberg, J. S., Vardas, P., Stone, P., Brugada, J., Piotrowicz, R., Hayes, D. L., Kirchhof, P., Breithardt, G., et al. (2012) · Annals of Noninvasive Electrocardiology · doi:10.1111/j.1542-474x.2011.00484.x · Cited by 47 · see citing works
Implantable Cardioverter-Defibrillator Lead Failure in Children and Young Adults
Janson, C. M., Patel, A., Bonney, W. J., Smoots, K. A., & Shah, M. J. (2013) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2013.09.033 · Cited by 41 · see citing works
Blanck, Z., Axtell, K., BRODHAGEN, K., O'HEARN, L., ALBELO, T., Ceretto, C., Dhala, A. A., Sra, J. S., & Akhtar, M. (2011) · Journal of Cardiovascular Electrophysiology · doi:10.1111/j.1540-8167.2011.02077.x · Cited by 36 · see citing works
Managing with pacemakers and implantable cardioverter defibrillators
Lampert, R. (2013) · Circulation · doi:10.1161/circulationaha.113.001555 · Cited by 34 · see citing works
Predictive factors of lead failure in patients implanted with cardiac devices
Aizawa, Y., Negishi, M., Kashimura, S., Nakajima, K., Kunitomi, A., Katsumata, Y., Nishiyama, T., Kimura, T., Nishiyama, N., Fukumoto, K., et al. (2015) · International Journal of Cardiology · doi:10.1016/j.ijcard.2015.07.055 · Cited by 34 · see citing works
Auricchio, A., Meijer, A., Kurita, T., Schloss, E. J., Brinkman, K., Ooijen, M. C.-V., & Sterns, L. D. (2011) · EP Europace · doi:10.1093/europace/eur133 · Cited by 34 · see citing works
Remote monitoring of implantable devices: should we continue to ignore it?
Bertini, M., Marcantoni, L., Toselli, T., & Ferrari, R. (2016) · International Journal of Cardiology · doi:10.1016/j.ijcard.2015.09.033 · Cited by 28 · see citing works
Update on Small‐Diameter Implantable Cardioverter‐Defibrillator Leads Performance
van Rees, J. B., van Welsenes, G. H., Borleffs, C. J. W., Thijssen, J., van der Velde, E. T., van der Wall, E. E., van Erven, L., & Schalij, M. J. (2012) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.2011.03338.x · Cited by 26 · see citing works
Performance of an ICD algorithm to detect lead noise and reduce inappropriate shocks
Beau, S. L., Greer, S., Ellis, C. R., Keeney, J., Asopa, S., Arnold, E., & Fischer, A. (2016) · Journal of Interventional Cardiac Electrophysiology · doi:10.1007/s10840-015-0081-6 · Cited by 21 · see citing works
Pron, G. E., Ieraci, L., & Kaulback, K. (2012) · Europe PMC (PubMed Central) · Cited by 17 · see citing works
Sutton, R. (2013) · EP Europace · doi:10.1093/europace/eut108 · Cited by 16 · see citing works
Lim, P., Lee, A., Chua, K., Lim, E., Chong, D. W. S., Tan, B., Ho, K., Teo, W. S., & Ching, C. (2016) · Singapore Medical Journal · doi:10.11622/smedj.2016120 · Cited by 16 · see citing works
Medtronic Sprint Fidelis lead recall: Determining the initial 5-year management cost to Medicare
Mehrotra, A. K., Knight, B. P., Smelley, M. P., Shah, D. P., Weisberg, I., Báez-Escudero, J. L., Beshai, J. F., & Burke, M. C. (2011) · Heart Rhythm · doi:10.1016/j.hrthm.2011.02.039 · Cited by 14 · see citing works
Electrodo de desfibrilación Sprint Fidelis: experiencia de nueve centros en España
Arias, M. A., Domínguez-Pérez, L., Toquero, J., Jiménez‐Candil, J., Olagüe, J., Dı́az-Infante, E., Tercedor, L., Valverde, I., Castro, J., Fernandez, F., et al. (2011) · Revista Española de Cardiología · doi:10.1016/j.recesp.2010.11.008 · Cited by 13 · see citing works
Leitch, J. W., Asakai, H., Dawson, L., MEDI, C., Norman, M., Stevenson, I., Toal, E., Turnbull, S., & Young, G. D. (2022) · Heart Lung and Circulation · doi:10.1016/j.hlc.2022.05.001 · Cited by 12 · see citing works
Vollmann, D., Woronowicz, S., Kmiec, L., Jung, K., Zenker, D., Seegers, J., Sossalla, S. T., Dorenkamp, M., Sohns, C., Lüthje, L., et al. (2013) · EP Europace · doi:10.1093/europace/eut185 · Cited by 12 · see citing works
Bernstein, N. E., KARAM, E. T., Aizer, A., Wong, B. C., Holmes, D., Bernstein, S., & Chinitz, L. A. (2012) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.2012.03357.x · Cited by 12 · see citing works
Novedades en electrofisiología cardiaca y arritmias
Hernández‐Madrid, A., Francés, R. M., & Moro, C. (2011) · Revista Española de Cardiología · doi:10.1016/s0300-8932(11)70011-2 · Cited by 11 · see citing works
Recommendations for the Programming of Implantable Cardioverter-Defibrillators in New Zealand
Webber, M. R., & Stiles, M. K. (2012) · Heart Lung and Circulation · doi:10.1016/j.hlc.2012.07.017 · Cited by 11 · see citing works
Sprint Fidelis Defibrillation Lead: a Nine-Center Experience in Spain
Arias, M. A., Domínguez-Pérez, L., Toquero, J., Jiménez‐Candil, J., Olagüe, J., Dı́az-Infante, E., Tercedor, L., Valverde, I., Castro, J., Fernandez, F., et al. (2011) · Revista Española de Cardiología (English Edition) · doi:10.1016/j.rec.2010.10.033 · Cited by 11 · see citing works
Natural history of the Sprint Fidelis lead: survival analysis from a large single-center study
Tzogias, L., Bellavia, D., Sharma, S., Donohue, T. J., & Schoenfeld, M. H. (2012) · Journal of Interventional Cardiac Electrophysiology · doi:10.1007/s10840-011-9647-0 · Cited by 11 · see citing works
Risk of Sprint Fidelis defibrillator lead failure is highly dependent on age
Girerd, N., Nonin, E., Pinot, J., Morel, É., Flys, C., Scridon, A., & Chevalier, P. (2011) · Archives of cardiovascular diseases · doi:10.1016/j.acvd.2011.05.002 · Cited by 10 · see citing works
Remote monitoring of cardiac implantable electronic devices
Nishii, N. (2014) · Journal of Arrhythmia · doi:10.1016/j.joa.2014.03.009 · Cited by 8 · see citing works
Guidelines for Managing Pacemaker and Implantable Defibrillator Advisories
Kramer, D. B., & Maisel, W. H. (2011) · Clinical Cardiac Pacing, Defibrillation and Resynchronization Therapy · doi:10.1016/b978-1-4377-1616-0.00034-5 · Cited by 8 · see citing works
Cardiac Implantable Electronic Devices
Haghjoo, M. (2017) · Elsevier eBooks · doi:10.1016/b978-0-323-51149-0.00014-6 · Cited by 8 · see citing works
Lam, A., Buehler, S. A., Goulouti, E., Sweda, R., Haeberlin, A., Medeiros‐Domingo, A., Servatius, H., Seiler, J., Baldinger, S. H., Noti, F., et al. (2018) · Journal of Interventional Cardiac Electrophysiology · doi:10.1007/s10840-018-0486-0 · Cited by 7 · see citing works
Biventricular Defibrillator Patients Have Higher Complication Rates after Revision of Recalled Leads
Brumberg, G. E., Kaseer, B., Shah, H., Saba, S., & Jain, S. K. (2012) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.2012.03401.x · Cited by 7 · see citing works
Indication of ICD in Brugada syndrome
Shimizu, A. (2013) · Journal of Arrhythmia · doi:10.1016/j.joa.2012.11.001 · Cited by 7 · see citing works
Oosterwerff, E. F. J., Theuns, D. A. M. J., Maass, A. H., & van Erven, L. (2024) · Heart Rhythm O2 · doi:10.1016/j.hroo.2024.07.010 · Cited by 5 · see citing works
Ng, J., Chopra, N., Barbhaiya, C. R., Reichlin, T., Nof, E., Nagashima, K., Tadros, T. M., & Koplan, B. A. (2014) · Journal of Interventional Cardiac Electrophysiology · doi:10.1007/s10840-013-9866-7 · Cited by 4 · see citing works
Managing patients with advisory defibrillator leads: what can we learn from published data?
Bracke, F. A. L. E., & van Gelder, B. M. (2015) · Netherlands Heart Journal · doi:10.1007/s12471-015-0669-6 · Cited by 3 · see citing works
Palmisano, P., Pisanò, E., Rosa, C. L., Ammendola, E., Zaccaria, M., Milanese, G., Lauretti, M., Rillo, M., Aloisio, A., Rago, A., et al. (2018) · Journal of Cardiovascular Medicine · doi:10.2459/jcm.0000000000000745 · Cited by 3 · see citing works
Zhu, D. W. X., Chu, M. M., & House, C. M. (2016) · EP Europace · doi:10.1093/europace/euw311 · Cited by 3 · see citing works
Mortality Risk of Fidelis Management
Faddis, M. N. (2011) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2011.04.011 · Cited by 3 · see citing works
Lead Fracture: Incidence, Diagnosis and Preventing Inappropriate ICD Therapy
Koneru, J. N., Kaszala, K., Huizar, J. F., & Ellenbogen, K. A. (2011) · Cardiac Electrophysiology Clinics · doi:10.1016/j.ccep.2011.05.007 · Cited by 2 · see citing works
Novedades en electrofisiología cardiaca y arritmias
Palmero, M. J. G., Alonso‐Martín, C., Font, E. R., & Viñolas, X. (2012) · Revista Española de Cardiología · doi:10.1016/j.recesp.2011.10.034 · Cited by 2 · see citing works
Himes, A. K., Hoium, S., & Swerdlow, C. D. (2022) · Heart Rhythm O2 · doi:10.1016/j.hroo.2022.09.014 · Cited by 2 · see citing works
Remotely Monitored Death of a Patient with Implanted ICD
Schaer, B. A., KÜHNE, M., Osswald, S., & Sticherling, C. (2011) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.2011.03269.x · Cited by 2 · see citing works
Noro, M., Zhu, X., Takagi, T., Sahara, N., Narabayashi, Y., Hashimoto, H., Ito, N., Enomoto, Y., Kujime, S., Sakai, T., et al. (2014) · Journal of Arrhythmia · doi:10.1016/j.joa.2014.08.003 · Cited by 2 · see citing works
Kella, D., & Stambler, B. S. (2020) · HeartRhythm Case Reports · doi:10.1016/j.hrcr.2020.08.021 · Cited by 2 · see citing works
Long-Term Benefit and Challenges of Implantable Cardioverter Defibrillator Therapy
Erkapic, D., & Bauernfei, T. (2013) · InTech eBooks · doi:10.5772/52325 · Cited by 1 · see citing works
Groarke, J. D., Phelan, D. M. J., Burke, D., Crean, P., & Foley, B. (2011) · Journal of Electrocardiology · doi:10.1016/j.jelectrocard.2011.11.003 · Cited by 1 · see citing works
Lead Integrity Alert Triggered by T-wave Oversensing
Aboud, A. A., & Clair, W. K. (2020) · Journal of Innovations in Cardiac Rhythm Management · doi:10.19102/icrm.2020.110204 · Cited by 1 · see citing works
Cardiac Implantable Electronic Devices
Haghjoo, M. (2021) · Elsevier eBooks · doi:10.1016/b978-0-323-80915-3.00002-8 · Cited by 1 · see citing works
Early Experience with the Biotronik Protego ICD Lead
Seiler, T., Grebmer, C., Hilfiker, G., Kobza, R., & Berte, B. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11237070 · Cited by 1 · see citing works
Osteopenia: osteoporosis, osteomalacia and other forms of decreased mineralized bone mass.
Mundy, G. R., Canalis, E. M., & Raisz, L. G. (1976) · PubMed · Cited by 1 · see citing works
Remote monitoring of implantable cardioverter defibrillators.
Dilaveris, P., & Piotrowicz, R. (2014) · PubMed · Cited by 1 · see citing works
Troubleshooting: Interpreting Diagnostic Information to Ensure Appropriate Function
Swerdlow, C. D., Friedman, P. A., Asirvatham, S. J., & Hayes, D. L. (2012) · doi:10.1002/9781118483923.ch10
Nakajima, H., Sutton, R., & Toyoshima, T. (2014) · Journal of Arrhythmia · doi:10.1016/j.joa.2014.02.012
Fischer, A. (2010) · Heart Rhythm · doi:10.1016/j.hrthm.2010.05.028
Monitorização remota de doentes com dispositivos cardíacos eletrónicos implantáveis
de Sousa, C. V. R. (2012) · Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) · doi:10.34626/bmje-tq17
Hu, Y. L., Kaszala, K., Huizar, J. F., Ellenbogen, K. A., & Tan, A. Y. (2016) · Pacing and Clinical Electrophysiology · doi:10.1111/pace.12914
ICD troubleshooting and follow‐up
Fishberger, S. B., & Shah, M. J. (2017) · doi:10.1002/9781119333050.ch15
When Impedance Trend Lies, Remote Monitoring Helps for Diagnosis
Scicchitano, M., Schirripa, V., Loricchio, M. L., Castro, A., Iulianella, R. V., Perna, S., Centurión, C., Albano, B., Rizzo, V., & Granatelli, A. (2023) · Annals of Clinical Cardiology · doi:10.4103/accj.accj_10_23
Postmarket medical device safety monitoring
Prince, A. J., Kaplan, A. V., & Zeitler, E. P. (2025) · Elsevier eBooks · doi:10.1016/b978-0-323-91790-2.00012-5
Transient Decrease in Ventricular Sensing Secondary to Left Lung Collapse
Chestaro, J., & Khouzam, R. N. (2025) · Cureus · doi:10.7759/cureus.88467
- Authors
- Kallinen, L. M., Hauser, R. G., Tang, C., Melby, D. P., Almquist, A. K., Katsiyiannis, W. T., & Gornick, C. C.
- Affiliations
- Minneapolis Heart Institute Foundation (US)
- Corresponding author
- Hauser, Robert G.
- Venue
- Heart Rhythm
- Publisher
- Elsevier BV
- Published
- 2010-08
- Volume
- 7
- Issue
- 8
- Pages
- 1048-1055
- ISSN
- 1547-5271 (ISSN-L)
- OpenAlex
- W2011174551
- Cited by
- 62
- References
- 16
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 1 · 2022: 3 · 2021: 1 · 2020: 2 · 2018: 2 · 2017: 2 · 2016: 4 · 2015: 3 · 2014: 5 · 2013: 8 · 2012: 12
- FWCI
- 7.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Heart Rhythm (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
- Health Sciences › Medicine › Epidemiology › Infective Endocarditis Diagnosis and Management
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Keywords
- inappropriate shocks, implantable cardioverter-defibrillator, remote monitoring, patient education
- MeSH terms
- Adult, Aged, Algorithms, Cardiac Pacing, Artificial, Electrodes, Implanted, Equipment Failure, Female, Humans, Male, Middle Aged, Defibrillators, Implantable
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