Remote monitoring of cardiac implantable electronic devices (CIED).

Journal Article (Review)

With increasing indications and access to cardiac implantable electronic devices (CIEDs) worldwide, the number of patients needing CIED follow-up continues to rise. In parallel, the technology available for managing these devices has advanced considerably. In this setting, remote monitoring (RM) has emerged as a complement to routine in-office care. Rigorous studies, randomized and otherwise, have demonstrated advantages to patient with CIED management systems, which incorporates RM resulting in authoritative guidelines from relevant professional societies recommending RM for all eligible patients. In addition to clinical benefits, CIED management programs that include RM have been shown to be cost effective and associated with high patient satisfaction. Finally, RM programs hold promise for the future of CIED research in light of the massive data collected through RM databases converging with unprecedented computational capability. This review outlines the available data associated with clinical outcomes in patients managed with RM with an emphasis on randomized trials; the impact of RM on patient satisfaction, cost-effectiveness, and healthcare utilization; and possible future directions for the use of RM in clinical practice and research.

Full Text

Duke Authors

Cited Authors

  • Zeitler, EP; Piccini, JP

Published Date

  • August 2016

Published In

Volume / Issue

  • 26 / 6

Start / End Page

  • 568 - 577

PubMed ID

  • 27134007

Electronic International Standard Serial Number (EISSN)

  • 1873-2615

International Standard Serial Number (ISSN)

  • 1050-1738

Digital Object Identifier (DOI)

  • 10.1016/j.tcm.2016.03.012

Language

  • eng