Cardiac implantable electronic device remote monitoring surveillance in pediatric and congenital heart disease: Utility relative to frequency

Dechert, Brynn E.; Serwer, Gerald A.; Bradley, David J.; Dick, Macdonald; LaPage, Martin J.

doi:10.1016/j.hrthm.2014.10.009

Cited by 26 publications

(38 citation statements)

References 11 publications

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“…70,71 The applications can include transfer of the ECG or viewing of the rhythm on cardiac monitoring at the originating site connected to the pediatric patient. [72][73][74][75] Often, treatment can be started with telecardiology supervision and monitoring that allows the arrhythmia to be converted. Other electrophysiology abnormalities, including prolonged QT syndromes, can be evaluated and managed in this fashion.…”

Section: Electrophysiology and Telemedicine External Rhythm Monitoringmentioning

confidence: 99%

“…Other electrophysiology abnormalities, including prolonged QT syndromes, can be evaluated and managed in this fashion. 75 Mobile monitoring devices are now commonly used for patients for up to 30 days of ambulatory telemetry. These devices provide telemetry monitoring 24 hours/ day via the small sensor and monitor the patient wears as the patient continues with his or her normal daily routine.…”

Section: Electrophysiology and Telemedicine External Rhythm Monitoringmentioning

confidence: 99%

See 1 more Smart Citation

Telemedicine in Pediatric Cardiology: A Scientific Statement From the American Heart Association

Satou¹,

Rheuban²,

Alverson³

et al. 2017

Circulation

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A dvancements in technology and broadband have revolutionized the current practice of medicine. The field of pediatric cardiology is no exception given the need for prompt diagnosis and reliance on cardiac imaging to identify infants and children with potentially life-threatening cardiovascular disease. As the relationship between telemedicine and pediatric cardiology has advanced, it has created a need to develop a broad, comprehensive document reviewing all the various aspects of telemedicine in pediatric cardiology. For more than a decade, a significant body of literature has been published describing individual experiences and practices, yet there remains no comprehensive statement or document summarizing this rapidly advancing field. In an effort to describe the collective experience and to provide structure and guidance for pediatric cardiology practitioners and healthcare providers, we have developed a scientific statement on the use of telemedicine in pediatric cardiology.Specific areas explored in this document include both neonatal and fetal teleechocardiography, implications for training community sonographers, pulse oximetry programs, qualitative improvement and appropriate use criteria initiatives, and remote electrophysiological monitoring. This document also includes teleconsultation and teleausculation, direct-to-consumer and home monitoring programs, and a look into the use of telemedicine and pediatric cardiology in the intensive care setting. Furthermore, a detailed review of the legislative, public policy, and legal aspects of telemedicine is provided, along with financial and reimbursement information.Several terms are used in the literature interchangeably; a brief explanation is provided to help readers of this document. The term telehealth is defined as the use of technology to bridge distances in any aspect of medicine; telemedicine is the specific application of technology to conduct clinical medicine at a distance. The term telecardiology is defined as the broad application of telemedicine in the field of cardiology specifically, and tele-echocardiography is the most common application used within this field. ECHOCARDIOGRAPHY AND TELEMEDICINEEchocardiography is the most commonly used noninvasive cardiovascular imaging modality and is considered to be both safe and cost-effective. Tele-echocardiography can be described as a process in which a provider or a technician obtains cardiovascular ultrasound images from a given patient and these images are subsequently transmitted to an offsite location where a cardiologist can provide further analysis and interpretation. Thus, tele-echocardiography enables expert interpretation and consultation in a rapid and potentially geographically disparate fashion, enabling prompt and accurate decision making involving triage, transport, and therapeutic priorities. Tele-echocardiography is now routinely used across the age and subspecialty spectrum in pediatric cardiology.

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Section: Electrophysiology and Telemedicine External Rhythm Monitoringmentioning

confidence: 99%

Section: Electrophysiology and Telemedicine External Rhythm Monitoringmentioning

confidence: 99%

Telemedicine in Pediatric Cardiology: A Scientific Statement From the American Heart Association

Satou¹,

Rheuban²,

Alverson³

et al. 2017

Circulation

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“…In a pediatric and CHD cohort followed remotely, Dechert et al . reported a low rate of events resulting in clinical intervention . Tachyarrhythmias were the most common finding to result in intervention and 41% occurred in the absence of symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…21 In a pediatric and CHD cohort followed remotely, Dechert et al reported a low rate of events resulting in clinical intervention. 22 Tachyarrhythmias were the most common finding to result in intervention and 41% occurred in the absence of symptoms. However, given low event rates, the authors found no observed benefit to high-frequency monitoring, particularly in asymptomatic patients and those with chronic implants.…”

Section: Remote Monitoringmentioning

confidence: 99%

Implantable Cardioverter Defibrillator Programming Characteristics, Shocked Rhythms, and Survival Among Patients Under Thirty Years of Age

Chang

Powell

Jones

et al. 2016

Cardiovasc electrophysiol

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“…Their institutional practice followed patients with CIED monthly with remote monitoring during the first 6 months of implantation, and then transitioning to bimonthly remote monitoring of devices. As a quality improvement initiative, their initial data demonstrated that 3‐monthly remote monitoring in all devices was safe with a relatively low number of actionable events, particularly in asymptomatic transmissions. In the current follow‐up paper, Dechert et al evaluate whether this quality improvement project impacts on patient care and health care providers’ workload.…”

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confidence: 99%

What is the optimal remote monitoring schedule in pediatric patients with cardiovascular implantable electronic devices?

Tsao

2019

Pacing Clinical Electrophis

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Cardiac implantable electronic device remote monitoring surveillance in pediatric and congenital heart disease: Utility relative to frequency

Cited by 26 publications

References 11 publications

Telemedicine in Pediatric Cardiology: A Scientific Statement From the American Heart Association

Telemedicine in Pediatric Cardiology: A Scientific Statement From the American Heart Association

Implantable Cardioverter Defibrillator Programming Characteristics, Shocked Rhythms, and Survival Among Patients Under Thirty Years of Age

What is the optimal remote monitoring schedule in pediatric patients with cardiovascular implantable electronic devices?

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