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REVIEW ARTICLE
Year : 2019  |  Volume : 4  |  Issue : 2  |  Page : 35-42

The role of remote monitoring for cardiac implantable electronic devices


1 Division of Cardiology, Medical University of South Carolina, Charleston, SC, USA
2 Division of Cardiology, Medical University of South Carolina, Charleston, SC, USA; Department of Cardiology, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan

Correspondence Address:
Prof. Michael R Gold
Division of Cardiology, Medical University of South Carolina, 114 Doughty Street, MSC 592, Charleston, SC 29425-5920
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/IJHR.IJHR_4_19

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At present, remote monitoring (RM) is available for almost all cardiac implantable electronic devices. RM systems allow for enhanced surveillance and earlier detection of clinically significant events. In recent guidelines, RM is a Class I indication for device follow-up, and the Expert Consensus Statement endorses the use of RM to improve patient compliance. Many clinical studies including randomized clinical trials showed favorable outcomes with RM. This technology reduces costs, allows for early detection of arrhythmias, as well as lead to malfunctions. RM also lowers hospitalization rates, decreases inappropriate implantable cardioverter defibrillator shocks, and detects asymptomatic atrial fibrillation earlier than routine office visits. However, whether RM reduces mortality remains unclear. Prevention of heart failure exacerbation with early detection of surrogate markers of heart failure with RM has not been demonstrated using a single measure such as intrathoracic impedance. However, the use of multiple parameters has encouraging early results, showing improved detection of impending heart failure exacerbation.


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