Contemporary Advances in Cardiac Remote Monitoring: A Comprehensive, Updated Mini-Review.
Gabriele FragassoRaffaele FalcoChiara TognolaMarco CarbonaroSara VargiuMichela GallazziMatteo BaroniLorenzo GigliMarisa VarrentiGiulia ColomboGabriele ZanottoCristina GiannattasioPatrizio MazzoneFabrizio GuarraciniPublished in: Medicina (Kaunas, Lithuania) (2024)
Over the past decade, remote monitoring (RM) has become an increasingly popular way to improve healthcare and health outcomes. Modern cardiac implantable electronic devices (CIEDs) are capable of recording an increasing amount of data related to CIED function, arrhythmias, physiological status and hemodynamic parameters, providing in-depth and updated information on patient cardiovascular function. The extensive use of RM for patients with CIED allows for early diagnosis and rapid assessment of relevant issues, both clinical and technical, as well as replacing outpatient follow-up improving overall management without compromise safety. This approach is recommended by current guidelines for all eligible patients affected by different chronic cardiac conditions including either brady- and tachy-arrhythmias and heart failure. Beyond to clinical advantages, RM has demonstrated cost-effectiveness and is associated with elevated levels of patient satisfaction. Future perspectives include improving security, interoperability and diagnostic power as well as to engage patients with digital health technology. This review aims to update existing data concerning clinical outcomes in patients managed with RM in the wide spectrum of cardiac arrhythmias and Hear Failure (HF), disclosing also about safety, effectiveness, patient satisfaction and cost-saving.
Keyphrases
- patient satisfaction
- healthcare
- end stage renal disease
- heart failure
- left ventricular
- newly diagnosed
- chronic kidney disease
- ejection fraction
- electronic health record
- public health
- prognostic factors
- peritoneal dialysis
- randomized controlled trial
- congenital heart disease
- mental health
- systematic review
- big data
- risk assessment
- climate change
- machine learning
- patient reported outcomes
- patient reported
- quantum dots