Remote monitoring: Doomed to let down or an attractive promise?

Publication date: September 2019Source: IJC Heart & Vasculature, Volume 24Author(s): Fabiana Lucà, Laura Cipolletta, Stefania Angela Di Fusco, Annamaria Iorio, Andrea Pozzi, Carmelo Massimiliano Rao, Nadia Ingianni, Manuela Benvenuto, Andrea Madeo, Damiana Fiscella, Daniela Benedetto, Giuseppina Maura Francese, Sandro Gelsomino, Massimo Zecchin, Domenico Gabrielli, Michele Massimo GuliziaAbstractDevice interrogation and management are time consuming, representing a relevant burden for pacing centers. In several situations, patients' management requires additional follow up visits.Remote Monitoring (RM) allows an optimal recall management and a rapid diagnosis of device or lead failure, without the need of additional in office visits. Further it allows a significant delay reduction between the adverse event and the reaction to the alarm, shortening the time needed to make a clinical decision. A role in risk-predicting patient-related outcomes has also been shown. RM permits detection of the arrhythmia from 1 to 5 months in advance compared to in-office visits. Importantly, by using specific algorithms with multiparametric analysis, RM has been studied as a potential instrument to identify early patients on risk of worsening HF using specific algorithms. Although the use of RM in HF setting remains controversial, it has been proposed to improve HF clinical outcomes and survival in clinical trials. In this sense, RM success could require a standardization of process within a ...

Source: IJC Heart and Vasculature - June 1, 2019 Category: Cardiology Source Type: research