title: Atrial sensor, remote monitoring and new anticoagulant drugs: Identification and treatment of a patient with unknown and asymptomatic atrial flutter.
abstract: This case report describes how new tools and technologies can drive a different approach in the management of arrhythmic patients. An unknown and asymptomatic atrial flutter was detected by the atrial sensor mounted in a single lead implantable cardioverter defibrillator. Moreover daily remote monitoring of the device allowed early notification and prompt clinical reaction. Anticoagulant therapy onset, radiofrequency ablation and the following anticoagulant therapy removal were driven by the device data transmissions.
authors.affiliation: Cardiologia Interventistica, Arcispedale Santa Maria Nuova, Reggio Emilia RE, Italy.
authors.forename: Fabio
authors.initials: F
authors.lastname: Quartieri
authors.affiliation: Biotronik Italia, Milano, Italy.
authors.forename: Daniele
authors.initials: D
authors.lastname: Giacopelli
authors.affiliation: Cardiologia Interventistica, Arcispedale Santa Maria Nuova, Reggio Emilia RE, Italy.
authors.forename: Matteo
authors.initials: M
authors.lastname: Iori
authors.affiliation: Cardiologia Interventistica, Arcispedale Santa Maria Nuova, Reggio Emilia RE, Italy.
authors.forename: Nicola
authors.initials: N
authors.lastname: Bottoni
keywords: AFL, atrial flutter; Anticoagulant drugs; Atrial dipole; Atrial flutter; HM, Home Monitoring™; ICD, implantable cardioverter defibrillator; IEGM, intracardiac electrogram; Implantable cardioverter defibrillator; Remote monitoring