Large Controlled Observational Study on Remote Monitoring of Pacemakers and Implantable Cardiac Defibrillators: A Clinical, Economic, and Organizational Evaluation

Interactive Journal of Medical Research
Claudio DarioSilvia Mancin

Abstract

Patients with implantable devices such as pacemakers (PMs) and implantable cardiac defibrillators (ICDs) should be followed up every 3-12 months, which traditionally required in-clinic visits. Innovative devices allow data transmission and technical or medical alerts to be sent from the patient's home to the physician (remote monitoring). A number of studies have shown its effectiveness in timely detection and management of both clinical and technical events, and endorsed its adoption. Unfortunately, in daily practice, remote monitoring has been implemented in uncoordinated and rather fragmented ways, calling for a more strategic approach. The objective of the study was to analyze the impact of remote monitoring for PM and ICD in a "real world" context compared with in-clinic follow-up. The evaluation focuses on how this service is carried out by Local Health Authorities, the impact on the cardiology unit and the health system, and organizational features promoting or hindering its effectiveness and efficiency. A multi-center, multi-vendor, controlled, observational, prospective study was conducted to analyze the impact of remote monitoring implementation. A total of 2101 patients were enrolled in the study: 1871 patients were ...Continue Reading

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Citations

Apr 14, 2017·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Alessandro CapucciGianfranco Buja
Apr 7, 2018·Journal of Telemedicine and Telecare·Antonio Lopez-VillegasSalvador Peiro
Aug 2, 2017·Journal of Telemedicine and Telecare·Kristian KidholmAnthony C Smith
Nov 18, 2020·BMC Geriatrics·Rafael Jesus Bautista-MesaCesar Leal-Costa
Mar 25, 2021·The American Journal of Cardiology·Ariane M FraicheDaniel B Kramer

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