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Accuracy and clinical utility of transtelephonic pacemaker follow-up.

Authors
  • Gessman, L J
  • Vielbig, R E
  • Waspe, L E
  • Moss, L
  • Damm, D
  • Sundeen, F
Type
Published Article
Journal
Pacing and clinical electrophysiology : PACE
Publication Date
May 01, 1995
Volume
18
Issue
5 Pt 1
Pages
1032–1036
Identifiers
PMID: 7659555
Source
Medline
License
Unknown

Abstract

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.

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