Initial clinical results using intracardiac electrogram monitoring to detect and alert patients during coronary plaque rupture and ischemia

Journal of the American College of Cardiology

Volumn 56, Issue 14, 2010, Pages 1089-1098

  Fischell, Tim A ^a   Fischell, David R ^e   Avezum, Alvaro ^c   John, M Sasha ^d,e   Holmes, David ^b   Foster III, Malcolm ^f   Kovach, Richard ^g   Medeiros, Paulo ^c   Piegas, Leopoldo ^c   Guimaraes, Helio ^c   Gibson, C Michael ^h  

^a Borgess Heart Institute   (United States)

^b MAYO CLINIC   (United States)

^c INSTITUTO DANTE PAZZANESE DE CARDIOLOGIA   (Brazil)

^d ROTMAN RESEARCH INSTITUTE   (Canada)

^e Angel Medical Systems Inc   (United States)

^f Baptist Hospital West   (United States)

^g Virtua Hospital   (United States)

^h HARVARD MEDICAL SCHOOL   (United States)

Author keywords

electrogram; ischemia monitoring; myocardial infarction; vulnerable plaque

Indexed keywords

ACUTE CORONARY SYNDROME; ACUTE HEART INFARCTION; ADULT; AGED; ARTICLE; ATHEROSCLEROTIC PLAQUE; BALLOON CATHETER; CLINICAL ARTICLE; CORONARY ARTERY OBSTRUCTION; CORONARY ARTERY THROMBOSIS; ELECTROCARDIOGRAPHY MONITORING; FEMALE; HEART ARRHYTHMIA; HEART CATHETERIZATION; HEART MUSCLE ISCHEMIA; HEART RATE; HEART RIGHT VENTRICLE; HIGH RISK PATIENT; HUMAN; MALE; PACEMAKER ELECTRODE; PRIORITY JOURNAL; ST SEGMENT; CORONARY ARTERY DISEASE; DEVICE SAFETY; DEVICES; ELECTROCARDIOGRAPHY; EQUIPMENT DESIGN; FOLLOW UP; HEART FUNCTION TEST; MIDDLE AGED; MYOCARDIAL ISCHEMIA; PHYSIOLOGIC MONITORING; PROCEDURES; RECURRENT DISEASE; RISK ASSESSMENT; RUPTURE;

ACUTE CORONARY SYNDROME; AGED; CORONARY ARTERY DISEASE; ELECTROCARDIOGRAPHY, AMBULATORY; ELECTROPHYSIOLOGIC TECHNIQUES, CARDIAC; EQUIPMENT DESIGN; EQUIPMENT SAFETY; FEMALE; FOLLOW-UP STUDIES; HUMANS; MALE; MIDDLE AGED; MONITORING, PHYSIOLOGIC; MYOCARDIAL ISCHEMIA; RECURRENCE; RISK ASSESSMENT; RUPTURE, SPONTANEOUS;

EID: 77957193990     PISSN: 07351097     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jacc.2010.04.053     Document Type: Article

References (26)

1. American Heart Association Heart and Stroke Statistical Update 1999 American Heart Association Dallas, TX
2. J.G. Canto, R.J. Zalenski, and J.P. Ornato Use of emergency medical services in acute myocardial infarction and subsequent quality of care observations from the National Registry of Myocardial Infarction 2 Circulation 106 2002 3018 3023
3. GISSI (Gruppo Italiano per lo Studio della Streptochinasi nel'Infarcto Miocardico) Effectiveness of intravenous thrombolytic treatment in acute myocardial infarction Lancet 1 1986 397 402
4. Second International Study of Infarct Survival (ISIS-2) Collaborative Group Randomized trial of intravenous streptokinase, oral aspirin, both or neither among 17,187 cases of suspected acute myocardial infarction Lancet 2 1988 349 360
5. C.L. Grines, K.F. Browne, and J. Marco A comparison of immediate angioplasty with thrombolytic therapy for acute myocardial infarction N Engl J Med 328 1993 673 679
6. D. Faxon, and C. Lenfant Timing is everything: motivating patients to call 9-1-1 at onset of acute myocardial infarction Circulation 104 2001 1210 1211
7. G. DeLuca, H. Suryapranata, J.P. Ottervanger, and E.M. Antman Time delay to treatment and mortality in primary angioplasty for acute myocardial infarction Every minute counts Circulation 109 2004 1223 1225
8. A.L. Brown, C. Mann, and M. Daya Demographic, belief and situational factors influencing the decision to utilize emergency medical services among chest pain patients Circulation 102 2000 173 178
9. H. Meischke, M.T. Ho, and M.S. Eisenbert Reasons patients with chest pain delay or do not call 911 Ann Emerg Med 25 1995 193 197
10. D.P. Chew, D.J. Moliterno, and H.C. Herrmann Present and potential future paradigms for the treatment of ST-segment elevation acute myocardial infarction J Invas Cardiol 14 Suppl A 2002 3 20
11. M. Sekulic, B. Hassunlzadeh, S. McGraw, and S. David Feasibility of early emergency room notification to improve door-to balloon times for patients with acute ST-segment elevation myocardial infarction Cath Cardiovasc Intervent 66 2005 316 319
12. Gibson CM. Reducing time delays in patients with ST elevation MI. Paper presented at: Satellite symposium of the Heart Rhythm Society; May 14, 2009; Boston, MA.
13. T.A. Fischell, D.R. Fischell, and R.E. Fischell Potential of an intracardiac electrogram for the rapid detection of coronary artery occlusion Cardiovasc Revasc Med 6 2005 14 20
14. P. Varriale, and J. Niznik Unipolar ventricular electrogram in the diagnosis of right ventricular ischemic injury Pacing Clin Electrophysiol 1 1978 335 341
15. T.A. Fischell, D.R. Fischell, R.E. Fischell, R. Virmani, J.J. DeVries, and M.W. Krucoff Real-time detection and alerting for acute ST-segment elevation myocardial ischemia using an implantable, high-fidelity, intracardiac electrogram monitoring system with long-range telemetry in an ambulatory porcine model J Am Coll Cardiol 48 2006 2306 2314
16. B. Hopenfeld, M.S. John, D.R. Fischell, P. Medeiros, H.P. Guimares, and L.S. Piegas The Guardian: an implantable system for chronic ambulatory monitoring of acute myocardial infarction J Electrocardiol 42 2009 481 486
17. H. Theres, R.W. Stadler, and L. Stylos Comparison of electrocardiogram and intrathoracic electrogram signals for detection of ischemic ST-segment changes during normal sinus and ventricular paced rhythms J Cardiovasc Electrophysiol 13 2002 990 995
18. S. Siegel, R. Brodman, and J. Fischer Intracardiac electrode detection of early or subendocardial ischemia Pacing Clin Electrophysiol 5 1982 892 902
19. E.G. Nabel, T.L. Shook, and M. Meyerovitz Detection of pacing-induced myocardial ischemia by endocardial electrograms recorded during cardiac catheterization J Am Coll Cardiol 11 1988 983 992
20. M.J. Davies, and A. Thomas Thrombosis and acute coronary-artery lesions in sudden cardiac ischemic death N Engl J Med 310 1984 1137 1140
21. J.A. Goldstein, D. Demetriou, and C.L. Grines Multiple complex coronary plaques in patients with acute myocardial infarction N Engl J Med 343 2000 915 922
22. G.W. Vetrovec Improving reperfusion in patients with myocardial infarction N Engl J Med 358 2008 634 637
23. R. Henriques de Gouveia, A.C. van der Wal, C.M. van der Loos, and A.E. Becker Sudden unexpected death in young adults Discrepancies between initiation of acute plaque complications and the onset of acute coronary death Eur Heart J 23 2002 1433 1440
24. J.A. Ambrose, and M. Weinrauch Thrombosis in ischemic heart disease Arch Intern Med 156 1996 1382 1394
25. W.B. Kannel Silent myocardial ischemia and infarction: insights from the Framingham study Cardiol Clin 4 1986 583 591
26. B.R. Brodie, B.J. Gersh, and T. Stuckey When is door-to-balloon time critical? Analysis from the HORIZONS-AMI (Harmonizing Outcomes with Revascularization and Stents in Acute Myocardial Infarction) and CADILLAC (Controlled Abciximab and Device Investigation to Lower Late Angioplasty Complications) trials J Am Coll Cardiol 56 2010 407 413