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Telemedicine and cardiac implants: what is the benefit?

Niraj Varma, Renato Pietro Ricci
DOI: http://dx.doi.org/10.1093/eurheartj/ehs388 1885-1895 First published online: 4 December 2012


Cardiac implantable electronic devices are increasing in prevalence. The post-implant follow-up is important for monitoring both device function and patient condition. However, practice is inconsistent. For example, ICD follow-up schedules vary from 3 monthly to yearly according to facility and physician preference and availability of resources. Recommended follow-up schedules impose significant burden. Importantly, no surveillance occurs between follow-up visits. In contrast, implantable devices with automatic remote monitoring capability provide a means for performing constant surveillance, with the ability to identify salient problems rapidly. Remote home monitoring reduces the volume of device clinic visits and provides early detection of patient and/or system problems.

  • Cardiac implantable electronic devices
  • ICD
  • Remote monitoring
  • Follow-up
  • Recall management
  • Early detection
  • Atrial fibrillation

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