Cardiac Remote Monitoring is the Standard of Care
Various studies have explored the ability of remote monitoring to detect problems early, thereby improving patient outcomes. Research showed that incorporating remote monitoring into follow-up practice ensures greater patient retention and improves adherence to scheduled patient evaluations. These studies form the basis for HRS’ recommendation that remote monitoring represents a standard of care for patients with CIEDs (including pacemakers, ICDs and loop recorders), with alert-driven follow ups replacing most routine in-person interrogations.
Advancements in remote monitoring technologies have enabled cardiac devices to seamlessly transmit critical data to health care providers. Cardiac implantable device remote monitoring alerts practitioners to changes in lead or device function that would otherwise go undetected until the next scheduled in-person or remote interrogation. Remote alert management is not just able to detect device failure but also alert clinicians to possible human programming errors such as the failure to activate tachy arrhythmia therapies.
Remote interrogation and alert management technologies complement routine follow-up appointments during the long-term phase of CIED management while maintaining an in-person evaluation schedule of at least 6–12 months. Studies have shown
that well planned and executed remote monitoring and interrogation can help achieve follow-up goals and improve device clinic workflow efficiency. Also, patients reported high satisfaction and acceptance of the technology, and clinicians found the data to be reliable and sufficient for evaluating device function and detecting arrhythmias while reducing the frequency of in person evaluations.
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