Usefulness of Remote Monitoring in Cardiac Implantable Device Follow-Up

被引:14
作者
Stoepel, Carsten [2 ]
Boland, Jean [3 ]
Busca, Rachele [1 ]
Saal, Gauri [4 ]
Oliveira, Mario [5 ]
机构
[1] Medtron Int Trading Sarl, CH-1131 Tolochenaz, Switzerland
[2] Lukaskrankenhaus GmbH, Herzkathetermesspl, Lethetermessplatze, Germany
[3] CH Citadel, Serv Cardiol, Liege, Belgium
[4] HealthEcon Write Ltd, Birmingham, W Midlands, England
[5] Santa Marta Hosp, Electrophysiol Lab, Lisbon, Portugal
来源
TELEMEDICINE JOURNAL AND E-HEALTH | 2009年 / 15卷 / 10期
关键词
implantable devices; remote monitoring; device monitoring; CARDIOVERTER-DEFIBRILLATOR; HEART-FAILURE; COMPLICATIONS; TELEMEDICINE; GUIDELINES; THERAPY; ICD;
D O I
10.1089/tmj.2009.0068
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The conventional approach to cardiac implantable device follow-up involves patients attending regularly scheduled in-clinic visits to verify the functionality and safety of the implanted devices. Due to increasing patient volumes, as well as the time, capital, and human resources required, such routine device follow-up contributes a significant resource burden to already overstrained clinics and electrophysiology departments, as well as to patients and caregivers in terms of travel and time. Continuous device status monitoring via remote means (i.e., remote device monitoring) allows clinics the ability to immediately be aware of changes in device functionality to proactively respond to actionable events, and may represent a safe, effective, and cost-saving alternative to conventional in-clinic follow-up programs. The currently available systems to remotely transmit device data combine leading medical and information technology using Web-based networks that promptly provide physicians with data comparable to in-clinic follow-up visits and offer patients a high level of convenience.
引用
收藏
页码:1026 / 1030
页数:5
相关论文
共 27 条
[1]   Complications of implantable cardioverter defibrillator therapy in 440 consecutive patients [J].
Alter, P ;
Waldhans, S ;
Plachta, E ;
Moosdorf, R ;
Grimm, W .
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 2005, 28 (09) :926-932
[2]  
*AM HEART ASS, 2002, HEART STROK STAT 200
[3]  
[Anonymous], TEL DEF
[4]   Amiodarone or an implantable cardioverter-defibrillator for congestive heart failure [J].
Bardy, GH ;
Lee, KL ;
Mark, DB ;
Poole, JE ;
Packer, DL ;
Boineau, R ;
Domanski, M ;
Troutman, C ;
Anderson, J ;
Johnson, G ;
McNulty, SE ;
Clapp-Channing, N ;
Davidson-Ray, LD ;
Fraulo, ES ;
Fishbein, DP ;
Luceri, RM ;
Ip, JH .
NEW ENGLAND JOURNAL OF MEDICINE, 2005, 352 (03) :225-237
[5]  
Chauvin M, 2004, ARCH MAL COEUR VAISS, V97, P915
[6]   Telemonitoring or structured telephone support programmes for patients with chronic heart failure: systematic review and meta-analysis [J].
Clark, Robyn A. ;
Inglis, Sally C. ;
McAlister, Finlay A. ;
Cleland, John G. F. ;
Stewart, Simon .
BMJ-BRITISH MEDICAL JOURNAL, 2007, 334 (7600) :942-945
[7]   Incidence and aetiology of heart failure - A population-based study [J].
Cowie, MR ;
Wood, DA ;
Coats, AJS ;
Thompson, SG ;
Poole-Wilson, PA ;
Suresh, V ;
Sutton, GC .
EUROPEAN HEART JOURNAL, 1999, 20 (06) :421-428
[8]  
CROSSLEY GH, 2008, HEART RHYTHM, V5, pPO4
[9]  
Elsner C.H., 2006, Comput Cardiol, V33, P241
[10]   Potential cost savings by telemedicine-assisted long-term care of implantable cardioverter defibrillator recipients [J].
Fauchier, L ;
Sadoul, N ;
Kouakam, C ;
Briand, F ;
Chauvin, M ;
Babuty, D ;
Clementy, J .
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 2005, 28 :S255-S259