Remote Monitoring of Cardiac Implantable Electronic Devices in Very Elderly Patients: Advantages and Specific Problems

Author:

Scacciavillani Roberto1ORCID,Koliastasis Leonidas2ORCID,Doundoulakis Ioannis2ORCID,Chiotis Sotirios2,Kordalis Athanasios2ORCID,Narducci Maria Lucia34ORCID,Kotoulas Sotiris2,Pinnacchio Gaetano3,Bencardino Gianluigi3ORCID,Perna Francesco3,Comerci Gianluca3,Gatzoulis Konstantinos A.2ORCID,Tsiachris Dimitris2,Pelargonio Gemma13

Affiliation:

1. Department of Cardiovascular & Pulmonary Sciences, Catholic University of the Sacred Heart, 00168 Rome, Italy

2. First Department of Cardiology, National and Kapodistrian University, “Hippokration” Hospital, 11527 Athens, Greece

3. Department of Cardiovascular Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy

4. Cardiology Unit, Cardiothoracic Department, Azienda Ospedaliera Universitaria Santa Maria della Misericordia, 33100 Udine, Italy

Abstract

Cardiac implantable electronic devices (CIEDs) offer the benefit of remote monitoring and decision making and find particular applications in special populations such as the elderly. Less transportation, reduced costs, prompt diagnosis, a sense of security, and continuous real-time monitoring are the main advantages. On the other hand, less physician–patient interactions and the technology barrier in the elderly pose specific problems in remote monitoring. CIEDs nowadays are abundant and are mostly represented by rhythm control/monitoring devices, whereas hemodynamic remote monitoring devices are gaining popularity and are evolving and becoming refined. Future directions include the involvement of artificial intelligence, yet disparities of availability, lack of follow-up data, and insufficient patient education are still areas to be improved. This review aims to describe the role of CIED in the very elderly and highlight the merits and possible drawbacks.

Publisher

MDPI AG

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