Detecting Deaths of Patients with CIEDs on Remote Monitoring

Description

With remote monitoring being the standard of care for patients with cardiac implantable electronic devices, device clinic staff detect end-of-life arrhythmias. Depending on timing, an intervention may be made to save a life. If the patient cannot be saved, the result can have psychological implications for device clinic staff who have witnessed the event. This session will cover the identification of EOL transmissions, what to do when reviewed, and how to handle feelings if the patient does not survive.

Learning Objectives

Describe how to detect potential EOL rhythms with RM transmissions.
Summarize what to do when detecting a potential EOL rhythm on RM transmission.
Discuss the psychological impact of EOL findings with RM transmissions and how the device clinic staff may manage their feelings.

Session Chair(s)

Martha Ferrara, DNP, FNP
Samuel Sears, PhD

Presentation

Detecting Deceased Patients Through Remote Monitoring: Review of Device Data and EGMs
Presenter(s): Christopher A. Monkhouse, BS

How Should the Clinician Respond When Reviewing a Potential EOL Device Transmission?
Presenter(s): Monique Young, ACNPC

For Patients with Heart Failure Who Have an ICD or CRT Device: Are There Specific Alerts That May be Associated with Impending Mortality?
Presenter(s): Maciej Dyrbus

Emotional Response by Clinicians to Observing Death on Remote Monitoring
Presenter(s): Nyree Sencion-Akhtar, DNP, MSN

Disclosures

Christopher Monkhouse:

Abbott (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
Medtronic,Inc. (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
Biotronik (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
Medtronic (Honoraria/Speaking/Consulting Fee - Membership on Advisory Committees or Review Panels)
Boston Scientific (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
Philips (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)
Medtronic,Inc. (Research (Contracted Grants for PIs and Named Investigators only) - Research)

Monique Young:

Western Afib (Honoraria/Speaking/Consulting Fee - Speaking and Teaching)

Maciej Dyrbus:

Nothing Relevant to Disclose

Nyree Sencion-Akhtar:

WMC (Salary from Employment - Employment)

To view all Heart Rhythm 2025 Faculty Disclosures, please click here.

Education Framework

Bradyarrhythmias
   --   Pacemakers
      --   65. Know indications for remote monitoring.

Ventricular Tachyarrhythmias
   --   Ventricular Tachycardia (VT)
      --   177. Know how to manage ventricular tachycardia storm.

Bradyarrhythmias
   --   Pacemakers
      --   65. Know indications for remote monitoring.

Summary


Availability:	No future session


Cost:	FREE


Credit Offered:	No Credit Offered

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