Detection of paroxysmal atrial fibrillation preceding persistent atrial fibrillation in a horse using an implantable loop recorder with remote monitoring
- Author
- Ingrid Vernemmen (UGent) , Glenn Van Steenkiste (UGent) , Annelies Decloedt (UGent) , H. Meert, U. Walser and Gunther van Loon (UGent)
- Organization
- Project
-
- Atrial fibrillation in horses: pathophysiology and use of anti-arrhythmic drugs
- Echocardiography-based imaging techniques for guidance of minimally-invasive intracardiac procedures in horses
- Echocardiography-based imaging techniques for guidance of minimally-invasive intracardiac procedures in horses.
- Abstract
- Implantable loop recorders (ILRs) are increasingly used in equine cardiology to detect arrhythmias in the context of collapse, poor performance or monitoring for recurrence of atrial fibrillation (AF). However to date, the ILR has never been reported to be used with a remote monitoring functionality in horses, therefore the arrhythmia is only discovered when a clinician interrogates the ILR using dedicated equipment, which might delay diagnosis and intervention. This case report describes the use of an ILR with remote monitoring functionality in a horse with recurrent AF. The remote monitoring consisted of a transmission device located in the stable allowing daily transmission of arrhythmia recordings and functioning messages to an online server, available for the clinician to evaluate without specialised equipment. The ILR detected an episode of paroxysmal AF approximately 3 months after implantation. Seven months after implantation, initiation of persistent AF was seen on an episode misclassified by the ILR as bradycardia, and the horse was retired. This report shows the feasibility and benefits of remote monitoring for ILRs in horses, but also the shortcomings of current algorithms to interpret the equine electrocardiogram.
- Keywords
- General Veterinary, Physiology, insertable cardiac monitor, event recorder, home monitoring, arrhythmia, telemetry, MANAGEMENT
Downloads
-
(...).pdf
- full text (Accepted manuscript)
- |
- UGent only (changes to open access on 2025-02-26)
- |
- |
- 175.68 KB
Citation
Please use this url to cite or link to this publication: http://hdl.handle.net/1854/LU-01HQJZA3J0M5Y9WC928D0S4NAT
- MLA
- Vernemmen, Ingrid, et al. “Detection of Paroxysmal Atrial Fibrillation Preceding Persistent Atrial Fibrillation in a Horse Using an Implantable Loop Recorder with Remote Monitoring.” JOURNAL OF VETERINARY CARDIOLOGY, vol. 52, Elsevier BV, 2024, pp. 19–27, doi:10.1016/j.jvc.2024.02.002.
- APA
- Vernemmen, I., Van Steenkiste, G., Decloedt, A., Meert, H., Walser, U., & van Loon, G. (2024). Detection of paroxysmal atrial fibrillation preceding persistent atrial fibrillation in a horse using an implantable loop recorder with remote monitoring. JOURNAL OF VETERINARY CARDIOLOGY, 52, 19–27. https://doi.org/10.1016/j.jvc.2024.02.002
- Chicago author-date
- Vernemmen, Ingrid, Glenn Van Steenkiste, Annelies Decloedt, H. Meert, U. Walser, and Gunther van Loon. 2024. “Detection of Paroxysmal Atrial Fibrillation Preceding Persistent Atrial Fibrillation in a Horse Using an Implantable Loop Recorder with Remote Monitoring.” JOURNAL OF VETERINARY CARDIOLOGY 52: 19–27. https://doi.org/10.1016/j.jvc.2024.02.002.
- Chicago author-date (all authors)
- Vernemmen, Ingrid, Glenn Van Steenkiste, Annelies Decloedt, H. Meert, U. Walser, and Gunther van Loon. 2024. “Detection of Paroxysmal Atrial Fibrillation Preceding Persistent Atrial Fibrillation in a Horse Using an Implantable Loop Recorder with Remote Monitoring.” JOURNAL OF VETERINARY CARDIOLOGY 52: 19–27. doi:10.1016/j.jvc.2024.02.002.
- Vancouver
- 1.Vernemmen I, Van Steenkiste G, Decloedt A, Meert H, Walser U, van Loon G. Detection of paroxysmal atrial fibrillation preceding persistent atrial fibrillation in a horse using an implantable loop recorder with remote monitoring. JOURNAL OF VETERINARY CARDIOLOGY. 2024;52:19–27.
- IEEE
- [1]I. Vernemmen, G. Van Steenkiste, A. Decloedt, H. Meert, U. Walser, and G. van Loon, “Detection of paroxysmal atrial fibrillation preceding persistent atrial fibrillation in a horse using an implantable loop recorder with remote monitoring,” JOURNAL OF VETERINARY CARDIOLOGY, vol. 52, pp. 19–27, 2024.
@article{01HQJZA3J0M5Y9WC928D0S4NAT,
abstract = {{Implantable loop recorders (ILRs) are increasingly used in equine cardiology to detect arrhythmias in the context of collapse, poor performance or monitoring for recurrence of atrial fibrillation (AF). However to date, the ILR has never been reported to be used with a remote monitoring functionality in horses, therefore the arrhythmia is only discovered when a clinician interrogates the ILR using dedicated equipment, which might delay diagnosis and intervention. This case report describes the use of an ILR with remote monitoring functionality in a horse with recurrent AF. The remote monitoring consisted of a transmission device located in the stable allowing daily transmission of arrhythmia recordings and functioning messages to an online server, available for the clinician to evaluate without specialised equipment. The ILR detected an episode of paroxysmal AF approximately 3 months after implantation. Seven months after implantation, initiation of persistent AF was seen on an episode
misclassified by the ILR as bradycardia, and the horse was retired. This report shows the feasibility and benefits of remote monitoring for ILRs in horses, but also the shortcomings of current algorithms to interpret the equine electrocardiogram.}},
author = {{Vernemmen, Ingrid and Van Steenkiste, Glenn and Decloedt, Annelies and Meert, H. and Walser, U. and van Loon, Gunther}},
issn = {{1760-2734}},
journal = {{JOURNAL OF VETERINARY CARDIOLOGY}},
keywords = {{General Veterinary,Physiology,insertable cardiac monitor,event recorder,home monitoring,arrhythmia,telemetry,MANAGEMENT}},
language = {{eng}},
pages = {{19--27}},
publisher = {{Elsevier BV}},
title = {{Detection of paroxysmal atrial fibrillation preceding persistent atrial fibrillation in a horse using an implantable loop recorder with remote monitoring}},
url = {{http://doi.org/10.1016/j.jvc.2024.02.002}},
volume = {{52}},
year = {{2024}},
}
- Altmetric
- View in Altmetric
- Web of Science
- Times cited: