{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,13]],"date-time":"2023-10-13T05:46:42Z","timestamp":1697176002035},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2006,6,15]],"date-time":"2006-06-15T00:00:00Z","timestamp":1150329600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Internal Medicine"],"published-print":{"date-parts":[[2006,7]]},"abstract":"<jats:title>Abstract.<\/jats:title><jats:p><jats:bold>Objectives.\u2002<\/jats:bold> To determine events during follow\u2010up of patients with implantable cardioverter\u2010defibrillators (ICD) and the specific experience cardiologists need for trouble\u2010shooting.<\/jats:p><jats:p><jats:bold>Design.\u2002<\/jats:bold> Prospective evaluation of all patient visits in an outpatient clinic.<\/jats:p><jats:p><jats:bold>Setting.\u2002<\/jats:bold> University hospital, single centre performing ICD controls in a region of 1.5 Mio inhabitants.<\/jats:p><jats:p><jats:bold>Subjects.\u2002<\/jats:bold> A total of 351 patients with 1118 consecutive visits during 14\u2003months.<\/jats:p><jats:p><jats:bold>Interventions.\u2002<\/jats:bold> Classification of events according to predefined training levels.<\/jats:p><jats:p><jats:bold>Main outcome measurements.\u2002<\/jats:bold> Skill levels A: simple visit, e.g. for switching the device \u2018off\u2019. B: normal visit, no further measures taken (no device reprogramming), even though the patient might have experienced ICD interventions. C: complex visit, electrophysiologist actively involved. Correlation of these levels with timing (routine, emergency on\/off office hours) and reason of visits.<\/jats:p><jats:p><jats:bold>Results.\u2002<\/jats:bold> Seventy\u2010six per cent of visits were scheduled routine visits, 5% performed within 24\u2003h because of shocks, 19% performed for other reasons (shock tests; switching the device \u2018off\/on\u2019; reported dizziness, syncope, palpitations without ICD interventions). Required skill levels were A in 44 (4%), B in 796 (71%) and C in 278 (25%) visits. Emergency visits were more often classified as level C (60%) than regular visits (20%), Skill level C was more often encountered during emergency (30%) than during regular visits (6%) (both <jats:italic>P<\/jats:italic>\u2003=\u20030.001).<\/jats:p><jats:p><jats:bold>Conclusions.\u2002<\/jats:bold> Our study suggests that for standard follow\u2010up in patients without obvious problems, a cardiologist might be sufficient, whereas presentations due to\/with clinical problems most likely will need the expertise of an electrophysiologist.<\/jats:p>","DOI":"10.1111\/j.1365-2796.2006.01656.x","type":"journal-article","created":{"date-parts":[[2006,6,15]],"date-time":"2006-06-15T12:02:47Z","timestamp":1150372967000},"page":"88-92","source":"Crossref","is-referenced-by-count":4,"title":["What are the professional and logistic demands to appropriately follow patients with an implantable cardioverter\u2010defibrillator?"],"prefix":"10.1111","volume":"260","author":[{"given":"B. 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