Skip to main content
construction release_alert
Scholars@Duke will be undergoing maintenance April 11-15. Some features may be unavailable during this time.
cancel

Remote Monitoring of Cardiac Implantable Electronic Devices in Patients Undergoing Hybrid Comprehensive Telerehabilitation in Comparison to the Usual Care. Subanalysis from Telerehabilitation in Heart Failure Patients (TELEREH-HF) Randomised Clinical Trial.

Publication ,  Journal Article
Pluta, S; Piotrowicz, E; Piotrowicz, R; Lewicka, E; Zaręba, W; Kozieł, M; Kowalik, I; Pencina, MJ; Oręziak, A; Cacko, A; Szalewska, D ...
Published in: Journal of clinical medicine
November 2020

The impact of cardiac rehabilitation on the number of alerts in patients with remote monitoring (RM) of cardiac implantable electronic devices (CIEDs) is unknown. We compared alerts in RM and outcomes in patients with CIEDs undergoing hybrid comprehensive telerehabilitation (HCTR) versus usual care (UC).Patients with heart failure (HF) after a hospitalization due to worsening HF within the last 6 months (New York Heart Association (NYHA) class I-III and left ventricular ejection fraction (LVEF) ≤40%) were enrolled in the TELEREH-HF study and randomised 1:1 to HCTR or UC. Patients with HCTR and CIEDs received RM (HCTR-RM). Patients with UC and CIEDs were offered RM optionally (UC-RM). Data from the initial 9 weeks of the study were analysed.Of 850 enrolled patients, 208 were in the HCTR-RM group and 62 in the UC-RM group. The HCTR-RM group was less likely to have alerts of intrathoracic impedance (TI) decrease (p < 0.001), atrial fibrillation (AF) occurrence (p = 0.031) and lower mean number of alerts per patient associated with TI decrease (p < 0.0001) and AF (p = 0.019) than the UC-RM group. HCTR significantly decreased the occurrence of alerts in RM of CIEDs, 0.360 (95%CI, 0.189-0.686; p = 0.002), in multivariable regression analysis. There were two deaths in the HCTR-RM group (0.96%) and no deaths in the UC-RM group (p = 1.0). There were no differences in the number of hospitalised patients between the HCTR-RM and UC-RM group (p = 1.0).HCTR significantly reduced the number of patients with RM alerts of CIEDs related to TI decrease and AF occurrence. There were no differences in mortality or hospitalisation rates between HCTR-RM and UC-RM groups.

Duke Scholars

Published In

Journal of clinical medicine

DOI

EISSN

2077-0383

ISSN

2077-0383

Publication Date

November 2020

Volume

9

Issue

11

Start / End Page

E3729

Related Subject Headings

  • 32 Biomedical and clinical sciences
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Pluta, S., Piotrowicz, E., Piotrowicz, R., Lewicka, E., Zaręba, W., Kozieł, M., … Kalarus, Z. (2020). Remote Monitoring of Cardiac Implantable Electronic Devices in Patients Undergoing Hybrid Comprehensive Telerehabilitation in Comparison to the Usual Care. Subanalysis from Telerehabilitation in Heart Failure Patients (TELEREH-HF) Randomised Clinical Trial. Journal of Clinical Medicine, 9(11), E3729. https://doi.org/10.3390/jcm9113729
Pluta, Sławomir, Ewa Piotrowicz, Ryszard Piotrowicz, Ewa Lewicka, Wojciech Zaręba, Monika Kozieł, Ilona Kowalik, et al. “Remote Monitoring of Cardiac Implantable Electronic Devices in Patients Undergoing Hybrid Comprehensive Telerehabilitation in Comparison to the Usual Care. Subanalysis from Telerehabilitation in Heart Failure Patients (TELEREH-HF) Randomised Clinical Trial.Journal of Clinical Medicine 9, no. 11 (November 2020): E3729. https://doi.org/10.3390/jcm9113729.
Pluta S, Piotrowicz E, Piotrowicz R, Lewicka E, Zaręba W, Kozieł M, Kowalik I, Pencina MJ, Oręziak A, Cacko A, Szalewska D, Główczyńska R, Banach M, Opolski G, Orzechowski P, Irzmański R, Kalarus Z. Remote Monitoring of Cardiac Implantable Electronic Devices in Patients Undergoing Hybrid Comprehensive Telerehabilitation in Comparison to the Usual Care. Subanalysis from Telerehabilitation in Heart Failure Patients (TELEREH-HF) Randomised Clinical Trial. Journal of clinical medicine. 2020 Nov;9(11):E3729.

Published In

Journal of clinical medicine

DOI

EISSN

2077-0383

ISSN

2077-0383

Publication Date

November 2020

Volume

9

Issue

11

Start / End Page

E3729

Related Subject Headings

  • 32 Biomedical and clinical sciences
  • 1103 Clinical Sciences