Table 2.

Measures to mitigate risk due to premature battery depletion.

1. Preparation and communication aMake a list of patients with affected devices with phone number, address, type of device and date of implant bExclude patients from the list that have known to have expired, or who have undergone cardiac transplant, or device explantation due to infection or other reasons

2. Out-patient follow up aAdd “note” and check “highlight at every follow up” (on the device) bInterrogation including battery longevity cAssess pacing dependency (ICD and CRT-D) and percentage pacing in ICDs dEnsure vibratory alert is ON for ERI eDemonstrate and familiarize the patient to the Vibratory Alert fAssess present ICD indication in patients with primary prevention ICD indication gRequest for a 3-month follow-up in those without remote monitoring

3. Remote monitoring – Merlin.net for all/selected patients (see Table 3)

4. Consider prophylactic device replacement for highly selected patients (see Table 4)

5. Notification to IHRS if a patient with premature battery depletion with or without any adverse event/s is seen