Remote monitoring of implantable cardioverter defibrillator patients: a safe, time-saving, and cost-effective means for follow-up
Open accessAbstract
AIMS: The purpose of this prospective study was to investigate whether internet-based remote monitoring offers a safe, practical, and cost-effective alternative to the in-office follow-up visits of patients with an implantable cardioverter defibrillator (ICD). METHODS AND RESULTS: Forty-one patients (62 +/- 10 years, range 41-76, 83% male) with previously implanted ICD were followed for 9 months. One-hundred and nineteen scheduled and 18 unscheduled data transmissions were performed. There were no device-related adverse events. Over 90% of the patients found the system easy to use. Physicians reported the system as being 'very easy' or 'easy' to use and found the data comparable to traditional device interrogation in 99% of the cases. They were able to address all unscheduled data transmissions remotely. Compared with the in-office visits, remote monitoring required less time from patients (6.9 +/- 5.0 vs. 182 +/- 148 min, P < 0.001) and physicians (8.4 +/- 4.5 vs. 25.8 +/- 17.0 min, P < 0.001) to complete the follow-up. Substitution of two routine in-office visits during the study by remote monitoring reduced the overall cost of routine ICD follow-up by 524 euro per patient (41%). CONCLUSION: Remote monitoring offers a safe, feasible, time-saving, and cost-effective solution to ICD follow-up.
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Surveys reveal that patients prefer home to in-office monitoring, and physicians find that the systems are user friendly.
“In general, surveys reveal that patients prefer home to in-office monitoring, and physicians find that the systems are user friendly.52,53”
From Managing with pacemakers and implantable cardioverter defibrillators (2013) · cites this paper as [52]
The Results section ('Ease of use and satisfaction'; page unavailable) reports that physicians found website access easy or very easy for 97% of transmissions and navigation very easy. The Methods section says patients were asked whether they preferred remote monitoring or in-office visits, but the available Results passage does not report which they preferred. This source therefore supports the physician-usability claim, not the claimed patient preference. (LLM, conf=0.87)
Experimental — accuracy not yet measuredData on the cost benefits of remote monitoring are not definitive to date.
“Data on the cost benefits of remote monitoring are not definitive to date.52,56”
From Managing with pacemakers and implantable cardioverter defibrillators (2013) · cites this paper as [52]
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- Authors
- Raatikainen, M. J. P., Uusimaa, P., van Ginneken, M. M. E., Janssen, J. P. G., & Linnaluoto, M.
- Affiliations
- University of Oulu (FI)
- Medtronic (Netherlands) (NL)
- Corresponding author
- Raatikainen, M.J. P.
- ORCID
- Raatikainen, M.J. P.
- Venue
- Europace
- Publisher
- Oxford University Press (OUP)
- Published
- 2008-10-01
- Volume
- 10
- Issue
- 10
- Pages
- 1145-1151
- ISSN
- 1099-5129 (ISSN-L)
- 1532-2092
- PMC
- PMC2552405
- OpenAlex
- W2129785807
- Cited by
- 189
- References
- 17
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 3 · 2023: 3 · 2022: 5 · 2021: 5 · 2020: 7 · 2019: 5 · 2018: 6 · 2017: 8 · 2016: 12 · 2015: 16 · 2014: 13 · 2013: 30 · 2012: 17
- FWCI
- 12.37
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- other-oa
- Locations
- EP Europace (publishedVersion, other-oa)
- PubMed Central (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
- implantable cardioverter-defibrillator, remote monitoring, device interrogation, cost-effectiveness, patient satisfaction
- MeSH terms
- Adult, Aged, Cost-Benefit Analysis, Female, Humans, Male, Middle Aged, Netherlands, Workload, Death, Sudden, Cardiac, Health Care Costs, Defibrillators, Implantable, Remote Consultation, Internet
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