Remote Monitoring of Patients With Implanted Cardiac Devices

Abstract

Three different types of implantable cardiac devices are now commonly used in clinical medicine: pacemakers (including cardiac resynchronization systems), cardiac defibrillators, and loop recorders. Although pacing specialists and electrophysiologists have traditionally been responsible for device follow‐up, the newest generation of implanted devices stores a wealth of information that can be useful to the clinical cardiologist. Important information, in addition to device function, such as incidence and type of arrhythmias, general clinical condition of the patient, and hemodynamic status can now be stored on large databases that are available via web access to all physicians caring for an individual patient. The advent of the remote monitoring capability of implanted devices has initiated a rapidly accelerating paradigm shift in device follow‐up that can potentially improve patient care at lower cost. Copyright © 2010 Wiley Periodicals, Inc.

“We as Human Beings Get Farther and Farther Apart”: The experiences of patients with remote monitoring systems

“…Nevertheless, in-clinic device checks may miss problems that develop between regularly scheduled visits. In some cases, remote monitoring (RM) systems have demonstrated a more than 90% success rate in identifying and transmitting device hardware problems, arrhythmias, and clinical deterioration within minutes, making this information readily available to health care professionals who manage the care of patients with an implantable cardioverter-defibrillator (ICD) (2–8). Over time, use of RM systems to care for patients with an ICD has increased sharply; for many electrophysiology clinics, such usage has become the standard of care (8–11).…”

A Review on Remote Monitoring Technology Applied to Implantable Electronic Cardiovascular Devices

“…35,36 Nevertheless, our work has a broader approach on remote monitoring technology, therefore providing additional contributions on this subject.…”

Online Remote Monitoring of Patients with Differentiated Thyroid Carcinomas and Neuroendocrine Tumors Treated with High Doses of Radionuclides

“…Telemonitoring has been used most frequently in cardiology, and many studies have proved its efficacy. [1][2][3][4][5][6]31 Economic consequences of telemonitoring are worthy of mentioning because reduction of total treatment costs was observed. 18,29 With radionuclide therapy, telemonitoring is useful because of specific requirements for accommodating patients in physical isolation areas, where it is difficult to monitor their health status 8 or to follow changes in radioactivity level within their bodies.…”

“…[1][2][3][4][10][11][12][13][14][15][16][17][18] There is an increasing trend to use telemedical systems based on standard public telecommunication lines. Recently, systems that utilize Internet connections and new-generation mobile phones (smartphones) have become popular, because of their simplicity, low cost, and easy access.…”

“…It becomes vital in emergencies, when complex decisions have to be made quickly. The majority of TM systems in intensive care units (ICUs) are designed specifically for cardiovascular patients, [1][2][3][4][5][6] and some are oriented towards patients with malignancies. [7][8][9] In these cases, online monitoring of their physiological functions could improve care and speed recovery.…”