Remote monitoring of cardiac implantable electronic devices and disease management

Author:

Varma Niraj1ORCID,Braunschweig Frieder2ORCID,Burri Haran3ORCID,Hindricks Gerhard4ORCID,Linz Dominik5ORCID,Michowitz Yoav6ORCID,Ricci Renato Pietro7ORCID,Nielsen Jens Cosedis8ORCID

Affiliation:

1. Cardiac Pacing and Electrophysiology, Cleveland Clinic , 9500 Euclid Avenue, Cleveland, OH 44118 , USA

2. Karolinska University Hospital Stockholm , 17176 Stockholm , Sweden

3. University Hospital of Geneva , 1205 Geneva , Switzerland

4. Charite Hospital , 10117 Berlin , Germany

5. Maastricht University Medical Center , 6211 LK Maastricht , The Netherlands

6. Department of Cardiology, Faculty of Medicine, Shaare Zedek Medical Center, Hebrew University , Jerusalem 9112001 , Israel

7. Cardio Arrhythmology Center , 00186 Roma , Italy

8. Aarhus University Hospital, Aarhus University , 8200 Aarhus , Denmark

Abstract

Abstract This reviews the transition of remote monitoring of patients with cardiac electronic implantable devices from curiosity to standard of care. This has been delivered by technology evolution from patient-activated remote interrogations at appointed intervals to continuous monitoring that automatically flags clinically actionable information to the clinic for review. This model has facilitated follow-up and received professional society recommendations. Additionally, continuous monitoring has provided a new level of granularity of diagnostic data enabling extension of patient management from device to disease management. This ushers in an era of digital medicine with wider applications in cardiovascular medicine.

Publisher

Oxford University Press (OUP)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

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