Remote monitoring of cardiac implantable devices during COVID-19 outbreak: "keep people safe" and "focus only on health care needs".

Acta Cardiologica
Saverio IacopinoAndrea Petretta

Abstract

The COVID-19 pandemic has challenged the ability of health care organisations to provide adequate care. We report the experience of a national tertiary electrophysiology centre in the management of patients with cardiac implantable electronic devices (CIEDs) through the use of a fully remote follow-up model. We daily and prospectively collected remote monitoring (RM) relevant findings and following clinical actions performed from March 10th to April 3rd 2020, a period of suspension of routine ambulatory activity due to the national lockdown. During the study period (25 days), we received 2,215 transmissions from 2,955 devices. Among them, 129 patients reported potential clinically actionable RM observations (event rate: 12.0/1000 patient-week). In 77 patients (60%), RM events triggered a clinical action, but only 5 patients needed an urgent in-hospital access (4 urgent procedures and 1 device reprogramming). In the unprecedented COVID-19 pandemic, RM became an essential tool in healthcare delivery for CIED patients. We observed that RM was effective in "keep people safe" and "focus only on individuals with health care needs".

References

Dec 18, 2013·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·Antonio Hernández-MadridUNKNOWN Scientific Initiatives Committee, European Heart Rhythm Association
May 20, 2015·Heart Rhythm : the Official Journal of the Heart Rhythm Society·David SlotwinerCheuk-Man Yu
Feb 13, 2018·International Journal of Cardiology·Gabriele ZanottoGiorgio Morando
Jan 30, 2020·The New England Journal of Medicine·Qun LiZijian Feng
Apr 22, 2020·Journal of Medical Virology·Sebastiano La MaestraSilvio De Flora

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Citations

May 18, 2021·Current Problems in Cardiology·Joanna Popiolek-Kalisz, Grzegorz Kalisz

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