Clinical Research
In May 2023, Heart Rhythm Society released an expert consensus statement that provided best practices for remote monitoring programs. The new statement placed emphasis on the importance of patient engagement, data management, and adequate staffing. The guidelines were updated from the previous 2015 version, which first identified remote monitoring as a class 1a recommendation and the standard of care for managing cardiac devices.
As monitoring technology and best practices have evolved over the past decade, new research proving the value of monitoring and offering solutions to optimize it continue to emerge. Explore the articles below for the latest research in the field of remote cardiac monitoring.
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Expert Consensus Statement and Remote Patient Monitoring Guidelines
KEVIN HOFFMAN
May 25, 2023
A few of the most important key takeaways from the Heart Rhythm Society’s presentation of the Expert Consensus Statement…
Remote Patient Monitoring: What Have We Learned and Where Are We Going?
2024-11-14
This review of the remote cardiac monitoring literature focuses on recent evolutions in the field and identifies future needs to improve it. It covers the benefits of remote monitoring, practical considerations, challenges, and future directions.
Role of patient education in the perception and acceptance of home monitoring after recent implantation of cardioverter defibrillators: The EDUCAT study
2024-11-14
This study found that educating recent ICD recipients on the monitoring process increased acceptance of monitoring and that younger patients had better comprehension of the process than older patients. The study also found that a higher level of comprehension was associated with lower anxiety and greater acceptance of monitoring.
Scheduled versus alert transmissions for remote follow-up of cardiac implantable electronic devices: Clinical relevance and resource consumption
2024-11-14
When looking at scheduled vs. alert transmissions, this study found that scheduled transmissions generated the majority of data review and consumed significant clinic resources without detecting many clinical events. Since alerts detected most clinical events, monitoring for alerts only could be sufficient and would reduce workload.
A mobile app for improving the compliance with remote management of patients with cardiac implantable devices: a multicenter evaluation in clinical practice
2024-11-14
In this study, patients used an app that provided easy-to-follow instructions for getting and staying connected to their monitors and notified them of disconnection, scheduled transmissions, and battery status. Patients who used the app demonstrated greater connectivity over time than those who did not.
Effectiveness of remote monitoring of CIEDs in detection and treatment of clinical and device-related cardiovascular events in daily practice: the HomeGuide Registry
2024-11-14
The HomeGuide Registry was the first large registry that provided a model for implementing CIED remote monitoring in daily clinical practice. The study demonstrated that remote monitoring was highly effective in detecting clinical events without dramatically increasing outpatient resource consumption.
Improved survival in patients enrolled promptly into remote monitoring following cardiac implantable electronic device implantation
2024-11-14
This study found that prompt enrollment in remote monitoring following device implantation is associated with greater survival than delayed enrollment. patients across all device types enrolled within 3 months of implantation had an 18% increased survival rate compared to patients enrolled past the 3-month mark.
Resource Use and Economic Implications of Remote Monitoring With Subcutaneous Cardiac Rhythm Monitors
2024-11-14
Implantable loop recorders produce a significant amount of false-positive data, but the demand on staff time and resources can be dramatically reduced when devices are reprogrammed based on clinical indication; the study found that customizing device programming reduced staff resource consumption for device interrogation by 34%.
The Relationship Between Level of Adherence to Automatic Wireless Remote Monitoring and Survival in Pacemaker and Defibrillator Patients
2024-11-14
From a dataset of about 300,000 patients, this study found that a greater level of adherence to remote monitoring was associated with a greater survival rate. This trend persisted across all device types; was not influenced by gender, age, or socioeconomic status; and highlights the importance of maintaining high patient connectivity.
Validation of an Organizational Management Model of Remote Implantable Cardioverter-Defibrillator Monitoring Alerts
2024-11-14
Many device clinics struggle to prioritize urgent alerts in a way that is efficient and improves clinical outcomes. This study shows that using decision trees as an organizational model to manage alerts decreased staff time dedicated to remote monitoring by >50%, decreased actionable alerts by 21% per patient, and reduced unnecessary medical interventions in response to alerts by 60%.
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