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

Fabiana Luca*, 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 Gulizia

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

10 Citations (Web of Science)

Abstract

Device 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 management model, that may involve different health care professionals. In this review, we examine recent advances of RM providing an update of this tool through different clinical scenarios. Published by Elsevier B.V.

Original languageEnglish
Article number100380
Number of pages8
JournalIJC Heart and Vasculature
Volume24
DOIs
Publication statusPublished - Sep 2019

Keywords

  • Implantable devices
  • Heart failure
  • Atrial fibrillation
  • Remote telemonitoring
  • IMPLANTABLE ELECTRONIC DEVICES
  • SUBCLINICAL ATRIAL-FIBRILLATION
  • HEART-FAILURE HOSPITALIZATIONS
  • FOLLOW-UP
  • EXPERT CONSENSUS
  • RANDOMIZED-TRIAL
  • ESC GUIDELINES
  • DEFIBRILLATOR
  • MANAGEMENT
  • RECIPIENTS

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