Increasing HeartLogic Alert Level Leads to Proactive Check with Intervention and Rapid Resolution of Heart Failure Symptoms
Summary
HeartLogic™ Heart Failure Index
85-year-old male
Patient History:
- Chronic HFrEF stable at NYHA class II symptoms
- Paroxysmal atrial flutter/Afib
- Previous CRT-D implantation
- CAD, i schemic cardiomyopathy
- LVEF reported at 20% in 2017
Timeline Prior to Alert:
Day 1: CRT-D change out due to ERI indicator. Implanted RESONATE with HeartLogic Heart Failure Diagnostic. Atrial flutter at implant with successful pace termination.
- Latitude enabled with HeartLogic tailored for device reporting to EP/device clinicians. HeartLogic reporting tailored to heart failure (HF) cardiologist in practice. Weight scale and blood pressure cuff ordered.
- Post-op/wound check with recurrent atrial flutter and successful pace termination. Sleep incline calibrated. Patient symptomatic.
(A) Day 81: Proactive device check at remote clinic due to patient symptoms with increasing HeartLogic score (56). Patient back in atrial flutter with successful pace termination.
- Patient referred back to EP for arrhythmia management and possible ablation.
- HeartLogic data evaluated by HF physician with addition of Torsemide 20mg and Metolazone 2.5mg and d/c Furosemide 40mg.
Clinical Data
S3
S1
Thoracic Impedence
Respiratory Rate
Night Heart Rate
Sleep Incline
Weight
Blood Pressure
Activity Level
AT/AF Burden
V Therapy
RV Rate during AT/AF
Mean Heart Rate
% LV Paced
Heart Rate Variability (SDANN)
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