{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T17:21:16Z","timestamp":1780680076116,"version":"3.54.1"},"reference-count":20,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2021,8,12]],"date-time":"2021-08-12T00:00:00Z","timestamp":1628726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Remote monitoring (RM) has been shown to reduce all\u2010cause mortality in patients with implantable cardioverter\u2010defibrillators or cardiac resynchronization therapy defibrillators (ICD\/CRT\u2010D). Not all devices transmit an alert for antitachycardia pacing (ATP) therapy, and it is unknown whether differences of RM alert affect the outcomes of electrical storm (ES).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We enrolled 42 patients with ICD\/CRT\u2010D whose out\u2010of\u2010hospital ES were detected by RM between 2013 and 2020. We divided their 54 episodes into two groups (ATP\u2010alert\u2010on; 22, ATP\u2010alert\u2010off; 32), and clinical outcomes were compared between the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In 35 of 54 episodes of ES, ventricular tachycardia (VT) could be terminated within 24\u00a0h of ES onset just by ATP (ATP\u2010alert\u2010on: 14, ATP\u2010alert\u2010off: 21); however, many patients subsequently received shock delivery for VT. Among the 35 episodes, only in ATP\u2010alert\u2010on group, seven patients were prompted to visit our hospital without ICD shock through confirmation of ES by ATP\u2010alert. Episodes that led to shock delivery 24\u00a0h or longer after the ES onset were significantly less common in the ATP\u2010alert\u2010on group (ATP\u2010alert\u2010on: 1\/14, ATP\u2010alert\u2010off: 9\/21, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.03). Although there were no significant differences in the number of shock deliveries between episodes in the two groups, the number of ATP deliveries were significantly fewer in the ATP\u2010alert\u2010on group (12[7\u201026] vs. 29[16\u201053] in ATP\u2010alert\u2010off group, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.03). Multivariate logistic regression analyses showed that the only ATP\u2010alert significantly reduced ATP deliveries (HR\u00a0=\u00a00.14, 95%CI\u00a0=\u00a00.04\u20100.57, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.003).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Remote monitoring with an ATP\u2010alert function during electrical storm may reduce appropriate ICD therapy through prompting early review.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pace.14334","type":"journal-article","created":{"date-parts":[[2021,8,4]],"date-time":"2021-08-04T06:20:40Z","timestamp":1628058040000},"page":"1675-1682","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Efficacy of antitachycardia pacing alert by remote monitoring of implantable cardioverter\u2010defibrillators for out\u2010of\u2010hospital electrical storm"],"prefix":"10.1111","volume":"44","author":[{"given":"Sou","family":"Otsuki","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Medicine Niigata University Graduate School of Medical and Dental Sciences  Niigata Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daisuke","family":"Izumi","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Niigata University Graduate School of Medical and Dental Sciences  Niigata Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuta","family":"Sakaguchi","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Niigata University Graduate School of Medical and Dental Sciences  Niigata Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naomasa","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Niigata University Graduate School of Medical and Dental 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Graduate School of Medical and Dental Sciences  Niigata Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenichi","family":"Iijima","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Niigata University Graduate School of Medical and Dental Sciences  Niigata Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaomi","family":"Chinushi","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Niigata University Graduate School of Medical and Dental Sciences  Niigata Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tohru","family":"Minamino","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Biology and Medicine Juntendo University Graduate School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inomata","family":"Takayuki","sequence":"additional","affiliation":[{"name":"Department of 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