Accuracy and clinical utility of transtelephonic pacemaker follow-up.
The diagnostic accuracy of transtelephonic pacemaker monitoring (TTM) has been quantified in a retrospective study involving 369 patients in three U.S. cardiac centers. Using existing medical records, TTM findings in a total of 413 reports were judged for equivalence to the findings of subsequent physical examinations in pacemaker clinics. This study found TTM follow-up testing to have a sensitivity of 94.6%, specificity of 98.5%, positive predictive value of 93.3%, and negative predictive value of 98.8%. The study also documents the clinical utility of TTM in identifying various modes of pacemaker malfunctions and instances of significant arrhythmia.
Gessman
L J
LJ
Deborah Heart and Lung Center, Browns Mills, NJ 08015, USA.
Vielbig
R E
RE
Waspe
L E
LE
Moss
L
L
Damm
D
D
Sundeen
F
F
D001145:Arrhythmias, Cardiac / Q000175:diagnosis / Q000209:etiology; D004562:Electrocardiography / Q000295:instrumentation*; D004868:Equipment Failure; D005500:Follow-Up Studies; D006801:Humans; D010138:Pacemaker, Artificial; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D013686:Telemetry / Q000295:instrumentation*; D013689:Telephone