Remote patient management using implantable devices
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.
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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”
From Managing with pacemakers and implantable cardioverter defibrillators (2013) · cites this paper as [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
- ORCID
- 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
- Licence
- www.springer.com/tdm (tdm)
- 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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