Use of remote monitoring in the management of system-related complications in implantable defibrillator patients

Theuns, Dominic; Jordaens, Luc

doi:10.1007/s12471-011-0228-8

Cited by 7 publications

(5 citation statements)

References 25 publications

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“…lead failure) has increased because of the growing number of implantations, greater use of CIEDs in young patients, patients with more comorbidities, and an increase in device and procedure complexity [40]. Remote monitoring systems incorporated in CIEDs may have a potential positive role in the early diagnosis of lead-related complications before the scheduled office visit or scheduled device follow-up [41]. Another potential advantage of remote monitoring systems is an early detection of silent episodes of atrial fibrillation (AF), because of the strong association between AF and the risk of developing HF, increased mortality risk, and increased risk of thromboembolic (TE) events.…”

Section: Heart Failure and Device Therapymentioning

confidence: 99%

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Remote monitoring of heart failure: benefits for therapeutic decision making

Martirosyan

Çalışkan

Theuns

et al. 2017

Expert Review of Cardiovascular Therapy

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Chronic heart failure is a cardiovascular disorder with high prevalence and incidence worldwide. The course of heart failure is characterized by periods of stability and instability. Decompensation of heart failure is associated with frequent and prolonged hospitalizations and it worsens the prognosis for the disease and increases cardiovascular mortality among affected patients. It is therefore important to monitor these patients carefully to reveal changes in their condition. Remote monitoring has been designed to facilitate an early detection of adverse events and to minimize regular follow-up visits for heart failure patients. Several new devices have been developed and introduced to the daily practice of cardiology departments worldwide. Areas covered: Currently, special tools and techniques are available to perform remote monitoring. Concurrently there are a number of modern cardiac implantable electronic devices that incorporate a remote monitoring function. All the techniques that have a remote monitoring function are discussed in this paper in detail. All the major studies on this subject have been selected for review of the recent data on remote monitoring of HF patients and demonstrate the role of remote monitoring in the therapeutic decision making for heart failure patients. Expert commentary: Remote monitoring represents a novel intensified follow-up strategy of heart failure management. Overall, theoretically, remote monitoring may play a crucial role in the early detection of heart failure progression and may improve the outcome of patients.

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Section: Heart Failure and Device Therapymentioning

confidence: 99%

“…As mentioned above, remote monitoring may play an important role in the early diagnosis and management of systemrelated complications in patients with implanted CIEDs [41]. The number of CIED implantations among HF patients has increased exponentially.…”

Section: Detection and Management Of System-related Complications In mentioning

confidence: 99%

Remote monitoring of heart failure: benefits for therapeutic decision making

Martirosyan

Çalışkan

Theuns

et al. 2017

Expert Review of Cardiovascular Therapy

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“…According to Theuns et al [24]: "remote monitoring is feasible, may facilitate ICD follow up, and lead to early detection of system-related complications. Continuous monitoring of specific device parameters may avoid unnecessary replacements of devices or leads.…”

Section: Physiciansmentioning

confidence: 99%

ICD in the Era of Telecardiology

Taïeb¹,

Bouet²,

Morice³

et al. 2013

Cardiac Defibrillation

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“…Additionally, remote patient monitoring reduces the time from onset of events (e.g. arrhythmias and device malfunctions) to clinical decision-making compared with conventional in-clinic follow-ups, which may also lead to a reduction in ICD shocks [ 6 , 7 ]. Most current ICDs are capable of remote monitoring and several professional societies recommend the routine use of remote monitoring in clinical practice [ 2 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Patient perspective on remote monitoring of cardiovascular implantable electronic devices: rationale and design of the REMOTE-CIED study

et al. 2014

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BackgroundRemote patient monitoring is a safe and effective alternative for the in-clinic follow-up of patients with cardiovascular implantable electronic devices (CIEDs). However, evidence on the patient perspective on remote monitoring is scarce and inconsistent.ObjectivesThe primary objective of the REMOTE-CIED study is to evaluate the influence of remote patient monitoring versus in-clinic follow-up on patient-reported outcomes. Secondary objectives are to: 1) identify subgroups of patients who may not be satisfied with remote monitoring; and 2) investigate the cost-effectiveness of remote monitoring.MethodsThe REMOTE-CIED study is an international randomised controlled study that will include 900 consecutive heart failure patients implanted with an implantable cardioverter defibrillator (ICD) compatible with the Boston Scientific LATITUDE® Remote Patient Management system at participating centres in five European countries. Patients will be randomised to remote monitoring or in-clinic follow-up. The In-Clinic group will visit the outpatient clinic every 3–6 months, according to standard practice. The Remote Monitoring group only visits the outpatient clinic at 12 and 24 months post-implantation, other check-ups are performed remotely. Patients are asked to complete questionnaires at five time points during the 2-year follow-up.ConclusionThe REMOTE-CIED study will provide insight into the patient perspective on remote monitoring in ICD patients, which could help to support patient-centred care in the future.

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Use of remote monitoring in the management of system-related complications in implantable defibrillator patients

Cited by 7 publications

References 25 publications

Remote monitoring of heart failure: benefits for therapeutic decision making

Remote monitoring of heart failure: benefits for therapeutic decision making

ICD in the Era of Telecardiology

Patient perspective on remote monitoring of cardiovascular implantable electronic devices: rationale and design of the REMOTE-CIED study

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