Transtelephone pacemaker clinic

Furman, Seymour; Parker, Bryan; Escher, Doris J.W.

doi:10.1016/s0022-5223(19)42190-9

Cited by 56 publications

(8 citation statements)

References 2 publications

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“…Significant improvements in lead function have been obtained with the use of steroid‐eluting leads; however, the rate of lead malfunction requiring reintervention continues to be high . Lead malfunction requiring adjustments of the PM parameters or lead replacement is usually diagnosed in the outpatient setting with interrogation of the device; however, since the early 1970s, a basic PM system interrogation could be obtained with TTM . Our data show that this technology is particularly useful to detect lead abnormalities in pediatric patients with epicardial PM systems.…”

Section: Discussionmentioning

confidence: 92%

“…Patients with PMs are followed in the outpatient setting with evaluation of pulse generators with programmability options or remotely using transtelephonic monitoring (TTM) or Internet‐based remote interrogation. TTM was first described in the early 1970s and has been used since for examination of sensing and stimulation function and to determine the battery status of the pulse generator. Routine TTM of pediatric patients with cardiac PM has been shown to have high sensitivity and specificity in identifying PM malfunction .…”

Section: Introductionmentioning

confidence: 99%

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Usefulness of Transtelephonic Monitoring in Epicardial Pacemaker Systems

Liberman

Spotnitz

Hordof

et al. 2013

Pacing Clinical Electrophis

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Section: Discussionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Usefulness of Transtelephonic Monitoring in Epicardial Pacemaker Systems

Liberman

Spotnitz

Hordof

et al. 2013

Pacing Clinical Electrophis

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“…Over 40 years ago, Furman et al described the use of transmitting data from pacemakers via telephone connections using a special device that can record baseline rhythms and rhythms associated with magnet application from pacemakers from any manufacturer. 7 TTM can be used to provide a rudimentary assessment of pacing and sensing function, but has been particularly effective for monitoring battery depletion, with an error rate of <1 %. 7 However, this method of monitoring device function does not replace in-clinic visits that provide more comprehensive information from pacemaker interrogation and also allow direct contact with a healthcare professional.…”

Section: Technical Aspectsmentioning

confidence: 99%

Remote Monitoring of Patients with Implanted Cardiac Devices – A Review

Afolabi¹,

Kusumoto

2012

European Cardiology Review

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There has been a rapid growth in the number of patients with cardiovascular implantable electronic devices (CIEDs), due to the consistent good results from large randomised trials and changing worldwide demographics with progressive ageing in all developed countries. Early generations of CIEDs provided only basic operations and stored only rudimentary data, but the evolution of all types of CIEDs (pacemakers, defibrillators, cardiac resynchronisation devices, implantable monitors) has led to their increased complexity and the development of a myriad of specialised features. As an outgrowth of this increased sophistication, once implanted, CIEDs can provide significant amounts of important clinical information, allowing to identify the presence of significant arrhythmias, assess drug efficacy, evaluate heart failure status and continuously monitor device function. With the advent of new methods of remote monitoring, the information recorded by these devices can be accessible in real time and thus lead to more timely clinical decision-making. This article summarises the impact of remote monitoring on clinical practice today and how the use of remote monitoring may evolve to affect the practice of medicine in the future.

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“…Transtelephonic transmission of PM data has been used clinically since 1971. 1 However, it provides only basic information such as battery status (based on paced rate that is different and elective replacement indicator rate with magnet application), capture and sensing, and limited electrocardiogram rhythm strip. Although these data are helpful, they are insufficient for optimal clinical care.…”

Section: Introductionmentioning

confidence: 99%

“…Remote follow‐up include transtelephonic and wireless transmissions of device data. Transtelephonic transmission of PM data has been used clinically since 1971 . However, it provides only basic information such as battery status (based on paced rate that is different and elective replacement indicator rate with magnet application), capture and sensing, and limited electrocardiogram rhythm strip.…”

Section: Introductionmentioning

confidence: 99%

Remote Monitoring of Implantable Pacemakers: In‐Office Setup Significantly Improves Successful Data Transmission

Ren

Apostolakos

et al. 2013

Clinical Cardiology

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Background Remote wireless follow‐up of implanted pacemakers (PM) has become an attractive method of follow‐up. Although wireless PM follow‐up has several advantages compared with transtelephonic and office‐based follow‐up, its utility depends on successful transmission. Hypothesis Initial in‐office setup of wireless PM will improve transmission rate as compared with home setup. Methods A total of 202 consecutive patients from 2 medical centers were included in this retrospective study. Patients in the home setup group (N = 101) had traditional home setup of wireless PM, whereas patients in the in‐office group (N = 101) had setup of PMs by allied health professionals during the postoperative office visit. Successful transmission was defined as successful initial wireless transmission of PM data by 2 months postimplant. Results Of the 101 patients in the home setup group, 22 (22%) patients had successful transmission. Of the 101 patients in the in‐office group, 92 (91%) patients had successful transmission (P < 0.0001). Logistic regression analysis showed that that the in‐office group was independently associated with successful transmission (odds ratio: 114.5; 95% confidence interval: 32.1‐408.4; P < 0.0001). Conclusions In patients implanted with PM capable of remote wireless data transmission, initial home setup of the wireless monitoring device was frequently unsuccessful. In‐office PM setup was associated with a significantly higher rate of successful transmission.

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Transtelephone pacemaker clinic

Cited by 56 publications

References 2 publications

Usefulness of Transtelephonic Monitoring in Epicardial Pacemaker Systems

Usefulness of Transtelephonic Monitoring in Epicardial Pacemaker Systems

Remote Monitoring of Patients with Implanted Cardiac Devices – A Review

Remote Monitoring of Implantable Pacemakers: In‐Office Setup Significantly Improves Successful Data Transmission

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