HeartLogic Detects Worsening Heart Failure Due to Patient Non-Compliance
Summary
A 30-year-old male with a history of non-compliance to medications was implanted with a Resonate™ family CRT-D, but did not immediately connect the LATITUDE Communicator.
(A) Day 63: A HeartLogic alert occurred on October 30 due to elevated S3 heart sounds, S3/S1 ratio and night heart rate. Thoracic impedance did not detect worsening heart failure symptoms.
(B) Day 69: Six days later, the patient, feeling symptomatic, plugged in his LATITUDE Communicator which transmitted an alert. A phone call with the patient determined the patient was non-compliant with medications; Entresto® was increased and Aldactone® was started.
(C) Day 80: The patient lost seven pounds and reported feeling better.
Clinical Data
HeartLogic™ Heart Failure Index
Contributing Trends
Note: Shaded portion indicates degree of worsening on Day 83.
S3
S1
Thoracic Impedence
Respiratory Rate
Night Heart Rate
Sleep Incline
Activity Level
AT/AF Burden
V Therapy
Mean Heart Rate
Heart Rate Variability (SDANN)
LATITUDE® Patient Management - Heart Failure Management Report
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References
1. Boehmer JP, Hariharan R, Devecchi FG, et al. A Multisensor algorithm predicts heart failure events in patients with implanted devices: results from the MultiSENSE study. JACC Heart Fail. 2017 Mar;5(3):216-25.
Results from the case studies are not necessarily predictive of results in other cases. Results in other cases may vary.