4.6 Article

Remote monitoring of cardiac implantable electronic devices and disease management

Journal

EUROPACE
Volume 25, Issue 9, Pages -

Publisher

OXFORD UNIV PRESS
DOI: 10.1093/europace/euad233

Keywords

Defibrillators; Patient monitoring; Follow-up; Remote monitoring; Guidelines

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This article summarizes the transition of remote monitoring of patients with cardiac electronic implantable devices, from a curiosity to a standard of care. Technological advancements have allowed for continuous monitoring that automatically alerts clinics with clinically actionable information. This model has received recommendations from professional societies and has expanded patient management to include disease management, ushering in a new era of digital medicine with broader applications in cardiovascular medicine.
This reviews the transition of remote monitoring of patients with cardiac electronic implantable devices from curiosity to standard of care. This has been delivered by technology evolution from patient-activated remote interrogations at appointed intervals to continuous monitoring that automatically flags clinically actionable information to the clinic for review. This model has facilitated follow-up and received professional society recommendations. Additionally, continuous monitoring has provided a new level of granularity of diagnostic data enabling extension of patient management from device to disease management. This ushers in an era of digital medicine with wider applications in cardiovascular medicine.

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