Open AccessISHNE/EHRA Expert Consensus on Remote Monitoring of Cardiovascular Implantable Electronic Devices (CIEDs)
Author(s) -
Dubner Sergio,
Auricchio Angelo,
Steinberg Jonathan S.,
Vardas Panos,
Stone Peter,
Brugada Josep,
Piotrowicz Ryszard,
Hayes David L.,
Kirchhof Paulus,
Breithardt Günter,
Zareba Wojciech,
Schuger Claudio,
Aktas Mehmet K.,
Chudzik Michal,
Mittal Suneet,
Varma Niraj
Publication year - 2012
Publication title -
annals of noninvasive electrocardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.494
H-Index - 48
eISSN - 1542-474X
pISSN - 1082-720X
DOI - 10.1111/j.1542-474x.2011.00484.x
Subject(s) - medicine , cardiac resynchronization therapy , defibrillation , canadian cardiovascular society , reimbursement , telemedicine , heart rhythm , intensive care medicine , heart failure , implantable cardioverter defibrillator , cardiology , medical emergency , health care , myocardial infarction , ejection fraction , economics , economic growth , angina
We are in the midst of a rapidly evolving era of technology‐assisted medicine. The field of telemedicine provides the opportunity for highly individualized medical management in a way that has never been possible before. Evolving medical technologies using cardiac implantable devices with capabilities for remote monitoring permit evaluation of multiple parameters of cardiovascular physiology and risk, including cardiac rhythm, device function, blood pressure values, the presence of myocardial ischaemia, and the degree of compensation of congestive heart failure. Cardiac risk, device status, and response to therapies can now be assessed with these electronic systems of detection and reporting. This document reflects the extensive experience from investigators and innovators around the world who are shaping the evolution of this rapidly expanding field, focusing in particular on implantable pacemakers, implantable cardioverter defibrillators, devices for cardiac resynchronization therapy (both with and without defibrillation properties), loop recorders, and hemodynamic monitoring devices. This document covers the basic methodologies, guidelines for their use, experience with existing applications, and the legal and reimbursement aspects associated with their use. To adequately cover this important emerging topic, the International Society for Holter and Noninvasive Electrocardiology and the European Heart Rhythm Association combined their expertise in this field. We hope that the development of this field can contribute to improve care of our cardiovascular patients. Ann Noninvasive Electrocardiol 2012;17(1):36–56