AIMS: Despite increased use of remote monitoring (RM) to follow up @entity737 ( @entity737 ) recipients, many @entity1 still receive @entity737 shocks in the community and present to the emergency department. Our aim was to identify the best predictors of @entity1457 that can be measured with an @entity737 and to identify the most appropriate activities to alert physicians to during RM follow-up. METHODS AND RESULTS: All @entity1 presenting to our institution for @entity737 shock, from November 2011 to November 2014, were enrolled in this prospective study. @entity1 characteristics, investigation results, and details of electrical activities from @entity737 interrogation were recorded at presentation. Presentations were classified as potentially avoidable if activities from a list of set criteria were apparent more than 48 h before index shock. Univariate and multivariate analyses were then used to identify predictors of potentially avoidable shocks. In total, 109 emergency presentations were recorded in 90 @entity1 (male: 85%; 57    16 years; @entity296 : 49%; LVEF: 34    13%; electrical storm: 40%), of which 26 (24%) were potentially avoidable. Antitachycardia pacing (ATP) episodes were the most important predictor of @entity1457 . Potentially avoidable shocks were preceded by more episodes of ATP than unavoidable shocks (13 [3-67] vs. 3 [0-10]; P < 0.001). @entity1 followed up with RM systems configured to generate alerts following ATP delivery experienced significantly less @entity737 shocks (24 vs. 16%, P < 0.01). CONCLUSION: Remote monitoring systems that generate alerts following ATP delivery could reduce emergency presentations for @entity737 shock by 24%, as ATP is a key predictor of @entity1457 .

Potential role of antitachycardia pacing alerts for the reduction of emergency presentations following shocks in XXXX with implantable cardioverter-defibrillators: implications for the implementation of remote monitoring.

@entity737 :: ('MESH:D057873', 'Disease') :: ['ICD', 'implantable cardioverter-defibrillator'] @entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'Patient'] @entity296 :: ('MESH:D009202', 'Disease') :: ['ischaemic cardiomyopathy'] @entity1457 :: ('MESH:D012769', 'Disease') :: ['impending shock delivery', 'impending shock']
@entity1 :: (9606,Species) :: ['patients']
