2023 HRS/EHRA/APHRS/LAHRS expert consensus statement on practical management of the remote device clinic

Aileen M Ferrick, Satish R Raj, Thomas Deneke, Pipin Kojodjojo, Nestor Lopez-Cabanillas, Haruhiko Abe, Serge Boveda, Derek S Chew, Jong-Il Choi, Nikolaos Dagres, Aarti S Dalal, Brynn E Dechert, Camille G Frazier-Mills, Olivia Gilbert, Janet K Han, Sherri Hewit, Christine Kneeland, Starr DeEllen Mirza, Suneet Mittal, Renato Pietro Ricci, Mary Runte, Susan Sinclair, Ricardo Alkmim-Teixeira, Bert Vandenberk, Niraj Varma, Aileen M Ferrick, Satish R Raj, Thomas Deneke, Pipin Kojodjojo, Nestor Lopez-Cabanillas, Haruhiko Abe, Serge Boveda, Derek S Chew, Jong-Il Choi, Nikolaos Dagres, Aarti S Dalal, Brynn E Dechert, Camille G Frazier-Mills, Olivia Gilbert, Janet K Han, Sherri Hewit, Christine Kneeland, Starr DeEllen Mirza, Suneet Mittal, Renato Pietro Ricci, Mary Runte, Susan Sinclair, Ricardo Alkmim-Teixeira, Bert Vandenberk, Niraj Varma

Abstract

Remote monitoring is beneficial for the management of patients with cardiovascular implantable electronic devices by impacting morbidity and mortality. With increasing numbers of patients using remote monitoring, keeping up with higher volume of remote monitoring transmissions creates challenges for device clinic staff. This international multidisciplinary document is intended to guide cardiac electrophysiologists, allied professionals, and hospital administrators in managing remote monitoring clinics. This includes guidance for remote monitoring clinic staffing, appropriate clinic workflows, patient education, and alert management. This expert consensus statement also addresses other topics such as communication of transmission results, use of third-party resources, manufacturer responsibilities, and programming concerns. The goal is to provide evidence-based recommendations impacting all aspects of remote monitoring services. Gaps in current knowledge and guidance for future research directions are also identified.

Keywords: Alerts; CIED; Cardiovascular implantable electronic device; Connectivity; Device clinic; Programming; Remote monitoring.

Copyright © 2023 Heart Rhythm Society, European Society of Cardiology, Asia Pacific Heart Rhythm Society, and the Latin American Heart Rhythm Society published by Elsevier Inc, Oxford University Press and Wiley. Published by Elsevier Inc. All rights reserved.

Source: PubMed

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