Remote Monitoring of Cardiac Implantable Electronic Devices in Very Elderly Patients: Advantages and Specific Problems

被引：0

作者：

Scacciavillani, Roberto ^{[1
]}

Koliastasis, Leonidas ^{[2
]}

Doundoulakis, Ioannis ^{[2
]}

Chiotis, Sotirios ^{[2
]}

Kordalis, Athanasios ^{[2
]}

Narducci, Maria Lucia ^{[3
,4
]}

Kotoulas, Sotiris ^{[2
]}

Pinnacchio, Gaetano ^{[3
]}

Bencardino, Gianluigi ^{[3
]}

Perna, Francesco ^{[3
]}

Comerci, Gianluca ^{[3
]}

Gatzoulis, Konstantinos A. ^{[2
]}

Tsiachris, Dimitris ^{[2
]}

Pelargonio, Gemma ^{[1
,3
]}

机构：

[1] Univ Cattolica Sacro Cuore, Dept Cardiovasc & Pulm Sci, I-00168 Rome, Italy

[2] Natl & Kapodistrian Univ, Hippokrat Hosp, Dept Cardiol 1, Athens 11527, Greece

[3] Fdn Policlin Univ A Gemelli IRCCS, Dept Cardiovasc Med, I-00168 Rome, Italy

[4] Cardiothorac Dept, Cardiol Unit, Azienda Osped Univ St Maria Misericordia, I-33100 Udine, Italy

来源：

JOURNAL OF CARDIOVASCULAR DEVELOPMENT AND DISEASE | 2024年 / 11卷 / 07期

关键词：

cardiac implantable electronic devices; CIED; remote monitoring; arrhythmic monitoring; hemodynamic monitoring; PULMONARY-ARTERY PRESSURE; HEART-FAILURE PATIENTS; FOLLOW-UP; INTRATHORACIC IMPEDANCE; ATRIAL-FIBRILLATION; HOSPITALIZATIONS; MANAGEMENT; PREFERENCES;

D O I：

10.3390/jcdd11070209

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Cardiac implantable electronic devices (CIEDs) offer the benefit of remote monitoring and decision making and find particular applications in special populations such as the elderly. Less transportation, reduced costs, prompt diagnosis, a sense of security, and continuous real-time monitoring are the main advantages. On the other hand, less physician-patient interactions and the technology barrier in the elderly pose specific problems in remote monitoring. CIEDs nowadays are abundant and are mostly represented by rhythm control/monitoring devices, whereas hemodynamic remote monitoring devices are gaining popularity and are evolving and becoming refined. Future directions include the involvement of artificial intelligence, yet disparities of availability, lack of follow-up data, and insufficient patient education are still areas to be improved. This review aims to describe the role of CIED in the very elderly and highlight the merits and possible drawbacks.

引用

页数：11