Implementation of remote monitoring in patients implanted  with T-ICD and S-ICD involved in a recall campaign:   An excellent tool with insufficient availability

Sławiński, Grzegorz; Kempa, Maciej; Zieleniewicz, Piotr; Dziurkowski, Łukasz; Wabich, Elżbieta; Budrejko, Szymon; Zienciuk-Krajka, Agnieszka; Daniłowicz‐Szymanowicz, Ludmiła

doi:10.33963/kp.a2023.0059

Cited by 1 publication

(1 citation statement)

References 10 publications

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“…Similarly, in 2021, the Pediatric and Congenital Electrophysiology Society (PACES) recognized RM as an integral part of pediatric patients' follow-up after CIED implantation [2]. The breakthrough that led to establishing RM as the standard of care in the daily practice of patients with CIED was possible due to an extensive body of evidence presenting reduced time from the onset of ventricular and supraventricular arrhythmias (including silent arrhythmias) to their evaluation, early identification of lead or device malfunction and monitoring battery status [3][4][5][6]. In contrast to the RM of high-energy devices in adults with heart failure (HF), there is no clear evidence of improved prognosis in the pediatric population, yet.…”

Section: Introductionmentioning

confidence: 99%

Pacemaker remote monitoring challenges in pediatric population: Single center long term experience

Kowal,

Baszko,

Czyż

et al. 2024

Pol Heart J

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Background: Remote monitoring (RM) of cardiac implantable electronic devices for adults offers improved treatment efficacy and, consequently, better patient clinical outcomes. There is scant data on the value and prognosis of RM in the pediatric population. Aims:The goal of this study was to determine the efficacy of RM by analyzing the connectivity of bedside transmitters, adherence to planned automatic follow-ups, and occurrence of alert-based events. Methods:We evaluated the pediatric population with implanted pacemakers for congenital AV block or after surgically corrected congenital heart diseases.Results: A total of 69 patients were included in our study. The median (Q1-Q3) patient age was 6.0 (2.0-11.0) years. All patients received bedside transmitters and were enrolled in the RM system. Among them, 95.7% of patients had their first scheduled follow-up successfully sent. Patients were followed up remotely over a median time of 33.0 (13-45) months. Only 42% of patients were continuously monitored, and all scheduled transmissions were delivered on time. Further analysis revealed that 34.8% of patients missed transmissions between June and September (holiday season). Alert-based events were observed in 40.6% patients, mainly related to epicardial lead malfunction and arrhythmic events. Overall compliance was also compromised by socioeconomic factors. Conclusions:Our findings are in concordance with recently published results by PACES regarding a high level of compliance in patient enrollment to RM and time to initial transmission. However, a lower level of adherence was observed during the holiday season due to interrupted connectivity of bedside transmitters. Importantly, a relatively low occurrence of alert transmissions was observed, mainly related to epicardial lead malfunction and arrhythmic events.

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