Implementation of remote monitoring in patients implanted  with T-ICD and S-ICD involved in a recall campaign:   An excellent tool with insufficient availability

Sławiński, Grzegorz; Kempa, Maciej; Zieleniewicz, Piotr; Dziurkowski, Łukasz; Wabich, Elżbieta; Budrejko, Szymon; Zienciuk-Krajka, Agnieszka; Daniłowicz‐Szymanowicz, Ludmiła

doi:10.33963/kp.a2023.0059

Cited by 2 publications

(1 citation statement)

References 10 publications

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“…Similarly, in 2021, the Pediatric and Congenital Electrophysiology Society (PACES) recognized RM as an integral part of pediatric patients' follow-up after CIED implantation [2]. The breakthrough that led to establishing RM as the standard of care in the daily practice of patients with CIED was possible due to an extensive body of evidence presenting reduced time from the onset of ventricular and supraventricular arrhythmias (including silent arrhythmias) to their evaluation, early identification of lead or device malfunction and monitoring battery status [3][4][5][6]. In contrast to the RM of high-energy devices in adults with heart failure (HF), there is no clear evidence of improved prognosis in the pediatric population, yet.…”

Section: Introductionmentioning

confidence: 99%

Pacemaker remote monitoring challenges in pediatric population: Single center long term experience

Kowal,

Baszko,

Czyż

et al. 2024

Pol Heart J

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Background: Remote monitoring (RM) of cardiac implantable electronic devices for adults offers improved treatment efficacy and, consequently, better patient clinical outcomes. There is scant data on the value and prognosis of RM in the pediatric population. Aims:The goal of this study was to determine the efficacy of RM by analyzing the connectivity of bedside transmitters, adherence to planned automatic follow-ups, and occurrence of alert-based events. Methods:We evaluated the pediatric population with implanted pacemakers for congenital AV block or after surgically corrected congenital heart diseases.Results: A total of 69 patients were included in our study. The median (Q1-Q3) patient age was 6.0 (2.0-11.0) years. All patients received bedside transmitters and were enrolled in the RM system. Among them, 95.7% of patients had their first scheduled follow-up successfully sent. Patients were followed up remotely over a median time of 33.0 (13-45) months. Only 42% of patients were continuously monitored, and all scheduled transmissions were delivered on time. Further analysis revealed that 34.8% of patients missed transmissions between June and September (holiday season). Alert-based events were observed in 40.6% patients, mainly related to epicardial lead malfunction and arrhythmic events. Overall compliance was also compromised by socioeconomic factors. Conclusions:Our findings are in concordance with recently published results by PACES regarding a high level of compliance in patient enrollment to RM and time to initial transmission. However, a lower level of adherence was observed during the holiday season due to interrupted connectivity of bedside transmitters. Importantly, a relatively low occurrence of alert transmissions was observed, mainly related to epicardial lead malfunction and arrhythmic events.

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Section: Introductionmentioning

confidence: 99%

Pacemaker remote monitoring challenges in pediatric population: Single center long term experience

Kowal,

Baszko,

Czyż

et al. 2024

Pol Heart J

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Smartphone App-Based Remote Monitoring Challenges in Patients with Cardiac Resynchronization Therapy Defibrillators—A Multicenter Study

Kowal,

Prech,

Katarzyńska-Szymańska

et al. 2024

JCM

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Background/Objectives: Remote monitoring (RM) cardiac implantable electronic devices for adults delivers improved patient outcomes. However, previously used bedside transmitters are not optimal due to deficient patient adherence. The goal of this study was to evaluate the efficacy of RM regarding the connectivity of smartphone app-based solutions, adherence to scheduled automatic follow-ups, and prevalence of alert-based events. Methods: We evaluated the adult heart failure (HF) population with an implanted cardiac resynchronization therapy defibrillator (CRT-D) divided into two arms: with app-based RM (abRM) and without app-based RM (control). Results: A total of 81 patients (median age of 69.0) were included in our study. Sixty-five patients received a CRT-D with abRM functionality, and sixteen did not. Twelve patients had no smartphone, and two provided no consent, resulting in their transfer to the control group. Finally, the abRM arm consisted of 51 patients, while 30 patients were in the control group. The median period of follow-up lasted 12 months. Among abRM patients, 98.0% successfully transmitted their first scheduled follow-up, and 80.4% were continuously monitored. Alert-based events were mainly related to arrhythmic events and device functionality with significantly shorter median times to notification (1 day vs. 101 days; p < 0.0001) in the abRM group. Conclusions: Our study showed a high level of compliance with timely initial transmission and adherence to scheduled remote follow-ups. Patient enrollment eligibility was a major challenge due to the limited accessibility of smartphones in the population. App-based RM demonstrated an accurate notification of events and patient-initiated transmissions in emergencies, regardless of location.

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Implementation of remote monitoring in patients implanted with T-ICD and S-ICD involved in a recall campaign: An excellent tool with insufficient availability

Cited by 2 publications

References 10 publications

Pacemaker remote monitoring challenges in pediatric population: Single center long term experience

Pacemaker remote monitoring challenges in pediatric population: Single center long term experience

Smartphone App-Based Remote Monitoring Challenges in Patients with Cardiac Resynchronization Therapy Defibrillators—A Multicenter Study

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