Cited by 28Cardiac pacing and defibrillation studiesTelemedicine and Telehealth ImplementationECG Monitoring and Analysis

Remote patient management using implantable devices

Movsowitz, Colin, Mittal, Suneet·2011·Journal of Interventional Cardiac Electrophysiology

Abstract

Remote patient management utilizing the Internet is a milestone in the management of patients with an implantable cardiac device. Pacemakers and implantable cardioverter-defibrillators (ICDs) store diagnostic information about device and lead integrity, the occurrence of atrial and ventricular arrhythmias, and parameters that may reflect on a patient's heart failure status. Previously, these data could only be retrieved with a programmer at an in-person office visit. The introduction of remote follow-up and monitoring has changed the paradigm for the management of patients with implanted devices. Remote follow-up has been shown to be superior to traditional transtelephonic monitoring for the detection of clinically actionable events in pacemaker patients. Remote monitoring using ICDs with wireless technology has been demonstrated to result in detection of lead malfunction and atrial and ventricular arrhythmias while reducing the need for in-office evaluations without compromising patient safety. Studies are underway to evaluate the clinical utility of identification of atrial high-rate episodes and to identify patients at risk for exacerbation of heart failure. Remote monitoring technology has yet to be universally adopted by patients or physicians. Impediments to the implementation of remote monitoring including issues related to work flow and data management are explored.

Integrity signals

Registry

Crossref · 10.1007/s10840-011-9548-2

Cites

16 of 16 references verified0 citation errors · 0 not checkable

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  • Although remote monitoring provides clinical and convenience-related advantages, the use of these systems is not universal, with only two-thirds of eligible patients enrolled in 1 company's system.

    “Although remote monitoring provides clinical and convenience-related advantages as described, the use of these systems is not universal, with only two-thirds of eligible patients enrolled in 1 company's system.62”

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Authors
Movsowitz, C., & Mittal, S.
Affiliations
  • Lankenau Medical Center (US)
  • St. Luke's-Roosevelt Hospital Center (US)
Corresponding author
Mittal, Suneet
Venue
Journal of Interventional Cardiac Electrophysiology
Published
2011-02-17
Volume
31
Issue
1
Pages
81-90
ISSN
  • 1383-875X (ISSN-L)
  • 1572-8595
OpenAlex
W2152720316
Cited by
28
References
16
Citations by year
2025: 1 · 2024: 1 · 2022: 2 · 2020: 1 · 2018: 2 · 2017: 1 · 2016: 4 · 2015: 5 · 2014: 4 · 2013: 5 · 2012: 2
FWCI
2.39
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Interventional Cardiac Electrophysiology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › ECG Monitoring and Analysis
Keywords
remote patient monitoring, cardiac implantable electronic devices, cardiac pacemaker, implantable cardioverter-defibrillator, remote follow-up, arrhythmia detection, heart failure, atrial high-rate episodes, data management, workflow barriers
MeSH terms
Arrhythmias, Cardiac, Equipment Failure, Humans, Pacemaker, Artificial, Population Surveillance, Safety, Telemetry, Telephone, Defibrillators, Implantable, Telemedicine, Internet, Wireless Technology

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