Remote Monitoring of Patients with Implantable Cardioverter Defibrillators (ICD): A Cute Gimmick or an Essential Tool for Clinical Excellence?

Freedberg, Nahum A.; Feldman, Alexander

doi:10.1111/jce.12415

Cited by 5 publications

(9 citation statements)

References 43 publications

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“…Remote monitoring of patients with internal cardioverter defibrillators (ICDs) and cardiac resynchronization therapy (CRT-pacing or CRT-defibrillator) is already common these days [ 3 ]. However, these devices also increasingly allow for device-based telemonitoring of the patient's disease state, especially for heart failure.…”

Section: Introductionmentioning

confidence: 99%

A Steep Increase in the HeartLogic Index Predicts COVID-19 Disease in an Advanced Heart Failure Patient

Heggermont

Nguyen

Lau

et al. 2020

Case Reports in Cardiology

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We present a patient with severe nonischemic cardiomyopathy in whom the HeartLogic algorithm was activated on her Boston Scientific cardioverter defibrillator. She had an out-of-alert state for several months and had clinically “stable” heart failure with no hospitalizations in the last 6 months. A sudden and fast increase of the HeartLogic index preceded her presentation in the emergency ward by several days. The detailed readout of HeartLogic however had some atypical features for heart failure decompensation. The patient presented at the emergency department with an increased dyspnea and a dry cough. Clinical exam showed desaturation and was suggestive for an acute respiratory infection. Subsequent imaging with CT thorax and nasopharyngeal real-time polymerase chain reaction (RT-PCR) confirmed SARS-CoV-2 viral pneumonia (COVID-19). This case illustrates that a timely and detailed analysis of HeartLogic alerts could help in the early differentiation of disease in patients with severe heart failure.

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Section: Introductionmentioning

confidence: 99%

A Steep Increase in the HeartLogic Index Predicts COVID-19 Disease in an Advanced Heart Failure Patient

Heggermont

Nguyen

Lau

et al. 2020

Case Reports in Cardiology

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“…The HomeGuide model has addressed and provided evidence on whether remote monitoring is realistically feasible in moderate to high volume outpatient clinic settings or even may be the only reasonable tool to cope with the continuous increase of the number of in‐hospital visits yearly performed, due the conjunction of the broadening indication guidelines and increasing life expectancy. An unpredictable, emergent, workload in response to many insignificant alerts generated by the remote monitoring is one of the main hurdles still slowing a widespread deployment of remote monitoring . In this perspective, our results may contribute to overcoming such a psychological barrier.…”

Section: Discussionmentioning

confidence: 77%

“…An unpredictable, emergent, workload in response to many insignificant alerts generated by the remote monitoring is one of the main hurdles still slowing a widespread deployment of remote monitoring. 2 In this perspective, our results may contribute to overcoming such a psychological barrier.…”

Section: Discussionmentioning

confidence: 79%

“…During the study, 3,364 HM sessions were performed, 74% of which by the responsible nurse and 26% by the RPs ( Table 1). The median number of remote follow-ups performed in each HM session was 2 (1)(2)(3)(4)(5). Major website connection problems or frequent unscheduled downtimes were not reported by the investigators during the study.…”

Section: Manpower For Hm Sessionsmentioning

confidence: 98%

“…Since its introduction more than 10 years ago, 1 remote monitoring of cardiac implantable electronic devices (CIED) has raised the concern that it could lead to an increase of workload for clinics and caregivers, despite its theoretical advantage in terms of accuracy and timing of detection of device-related or clinical events worthy of attention and reaction. 2 Later, efficacy and safety of automatic remote follow-ups of pacemakers (PM) and defibrillators (ICD), as well as the major related benefits in medical care and resource consumption, were demonstrated in large clinical studies. [3][4][5][6][7] Nevertheless, the greatest challenge in implementing remote monitoring in standard practice is still the need to develop effective organizational models.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Manpower and Outpatient Clinic Workload for Remote Monitoring of Patients with Cardiac Implantable Electronic Devices: Data from the HomeGuide Registry

Ricci

Morichelli

D’Onofrio

et al. 2014

Cardiovasc electrophysiol

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Current Practices in the Monitoring of Cardiac Rhythm Devices in Pediatrics and Congenital Heart Disease

2014

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Although guidelines for routine follow-up of pacemakers and implantable cardioverter defibrillators (ICDs) are available for adults, minimal data supports their appropriateness in pediatrics and congenital heart disease. This study aimed to define current practices of cardiac rhythm device (CRD) follow-up among pediatric electrophysiologists. Pediatric and Congenital EP Society (PACES) members were surveyed regarding frequency of CRD in-person follow-up as well as transtelephonic monitoring (TTM) and remote monitoring (RM) practices. If home monitoring was used, the effect on in-person follow-up was also evaluated. A total of 106 PACES members responded to the survey. Uncomplicated pacemaker and ICD patients were both followed in-person at a median interval of 6 months (range 1-12 months). TTM was utilized by 67 % of responders (median interval 3 months; range 1-6 months), while RM was used by 87 % for pacemakers (median interval 3 months; range 1-6 months) and 92 % for ICDs (median interval 3 months; range 2 weeks-6 months). When TTM was used, 21 % of responders reduced their frequency of pacemaker clinic visits. In comparison, RM reduced the frequency of clinic visits for pacemakers and ICDs in 32 and 31 % of responders, respectively. Patient age was an independent factor in determining CRD follow-up for 49 % of responders. While CRD follow-up by pediatric electrophysiologists in general follows adult guidelines, individual practices widely vary. In contrast to published recommendations in adults, TTM and RM utilization does not reduce the frequency of in-person visits for the majority of pediatric electrophysiologists.

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Remote Monitoring of Patients with Implantable Cardioverter Defibrillators (ICD): A Cute Gimmick or an Essential Tool for Clinical Excellence?

Cited by 5 publications

References 43 publications

A Steep Increase in the HeartLogic Index Predicts COVID-19 Disease in an Advanced Heart Failure Patient

A Steep Increase in the HeartLogic Index Predicts COVID-19 Disease in an Advanced Heart Failure Patient

Manpower and Outpatient Clinic Workload for Remote Monitoring of Patients with Cardiac Implantable Electronic Devices: Data from the HomeGuide Registry

Current Practices in the Monitoring of Cardiac Rhythm Devices in Pediatrics and Congenital Heart Disease

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