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Background To investigate the effect and the significance of home monitoring (HM) during the follow-up of high risk patients with implantable cardioverter defibrillator (ICD).Methods 15 high risk patients (male: 9,mean age: (58.13±17.96) years) who implanted with HM function of ICD were enrolled in this study.Compared with the conventional office visits,the parameters of defibrillator device and the different types of remote alert messages delivered by HM were analysed and then dealt with by remote telephone suggestion or by office visits back to hospital if necessary.