Skip to main content
SpringerLink
Log in

Managing Systems in Cardiac Remote Monitoring: A Complex Challenge Turned into an Important Clinical Tool

  • Conference paper
  • First Online:
Biomedical Engineering Systems and Technologies (BIOSTEC 2014)

Part of the book series: Communications in Computer and Information Science ((CCIS,volume 511))

  • 548 Accesses

Abstract

With the increasing awareness of indications for cardiac devices, especially related to the clinical benefits of implantable cardioverter-defibrillators (ICD) and cardiac resynchronization therapy (CRT), the number of patients with implanted electronic devices (CIED) has been growing steadily [1–3]. Recent data from the country members of the European Heart Rhythm Association (EHRA) have shown a general trend to increase in the number of centers implanting CIED, and, despite great differences in implanting rates among EHRA members, a steadily increase in the number of implants in almost all countries [4]. Consequently, more patients require regular follow-up to ascertain technical integrity.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Stellbrink, C., Trappe, H.J.: The follow-up of cardiac devices: what to expect for the future? Eur. Heart J. Suppl. 9(Suppl. I), I113–I115 (2007)

    Article  Google Scholar 

  2. Stoepel, C., Boland, J., Busca, R., Saal, G., Oliveira, M.: Usefulness of remote monitoring in cardiac implantable device follow-up. Telemed J E Health. 15(10), 1026–1030 (2009)

    Article  Google Scholar 

  3. Marinskis, G., van Erven, L., Bongiorni, M.G., Lip, G.Y., Pison, L., Blomström-Lundqvist, C.: Practices of cardiac implantable electronic device follow-up: results of the European Heart Rhythm Association survey. Europace 14(3), 423–425 (2012)

    Article  Google Scholar 

  4. Arribas, F.: The EHRA White Book. Europace 14(Suppl. 3), ii1–ii55 (2012)

    Google Scholar 

  5. Joglar, J.A.: Remote monitoring of cardiovascular implantable electronic devices: new questions raised. Pacing Clin. Electrophysiol. 32(12), 1489–1491 (2010)

    Article  Google Scholar 

  6. Dubner, S., Auricchio, A., Steinberg, J.S., Vardas, P., Stone, P., Brugada, J., et al.: ISHNE/EHRA expert consensus on remote monitoring of cardiovascular implantable electronic devices (CIEDs). Europace 14, 278–293 (2012)

    Article  Google Scholar 

  7. Tracy, C.M., et al.: 2012 ACCF/AHA/HRS Focused Update of the 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities. JACC 60(14), 1297–1313 (2012). Device-Based Therapy Guideline Focused Update October 2, 2012

    Article  Google Scholar 

  8. Sticherling, C., Kühne, M., Schaer, B., Altmann, D., Osswald, S.: Remote monitoring of cardiovascular implantable electronic devices. Prerequisite or luxury? Swiss Med Wkly 139(41–42), 596–601 (2009)

    Google Scholar 

  9. Wilkoff, B.L., Auricchio, A., Brugada, J., et al.: HRS/EHRA expert consensus on the monitoring of cardiovascular implantable electronic devices (CIEDs): description of techniques, indications, personnel, frequency and ethical considerations. Heart Rhythm. 5, 907–925 (2008)

    Article  Google Scholar 

  10. Raatikainen, M.J., Uusimaa, P., van Ginneken, M.M., et al.: Remote monitoring of implantable cardioverter defibrillator patients: a safe, time-saving, and cost effective means for follow-up. Europace. 10, 1145–1151 (2008)

    Article  Google Scholar 

  11. Oliveira, M., Silva, P.C., Silva, N.: Remote monitoring for follow-up of patients with implantable cardiac devices. Rev. Port. Cardiol. 32, 185–190 (2013)

    Google Scholar 

  12. Landolina, M., Perego, G.B., Lunati, M., Curnis, A., Guenzati, G., Vicentini, A., Parati, G., Borghi, G., Zanaboni, P., Valsecchi, S., Marzegalli, M.: Remote monitoring reduces healthcare use and improves quality of care in heart failure patients with implantable defibrillators. the evolution of management strategies of heart failure patients with implantable defibrillators (EVOLVO) study. Circulation 125, 2985–2992 (2012)

    Article  Google Scholar 

  13. Burri, H.: Remote follow-up and continuous remote monitoring, distinguished. Europace 15, i14–i16 (2013)

    Article  Google Scholar 

  14. Kleeman, T., Becker, T., Doenges, K., Vater, M., Senges, J., Schneider, S., Saggau, W., Weisse, U., Seidl, K.: Annual rate of transvenous defibrillation lead defects in implantable cardioverter-defibrillators over a period of > 10 years. Circulation 115, 2474–2480 (2007)

    Article  Google Scholar 

  15. Burri, H., Heidbüchel, H., Jung, W., Brugada, P.: Remote monitoring: a cost or an investment? Europace 13, ii44–ii48 (2011)

    Google Scholar 

  16. McMurray, J.J., Adamopoulos, S., Anker, S.D., Auricchio, A., et al.: ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012. Eur. Heart J. 33, 1787–1847 (2012)

    Article  Google Scholar 

  17. Whellan, D.J., Ousdigian, K.T., Al-Khatib, S.M., et al.: Combined heart failure device diagnostics identify patients at higher risk of subsequent heart failure hospitalizations: results from PARTNERS HF (Program to Access and Review Trending Information and Evaluate Correlation to Symptoms in Patients With Heart Failure) study. J. Am. Coll. Cardiol. 55, 1803–1810 (2010)

    Article  Google Scholar 

  18. Sousa, C., Leite, S., Lagido, R., Ferreira, L., Silva-Cardoso, J., Maciel, M.J.: Telemonitoring in heart failure: a state-of-the-art review. Rev. Port. Cardiol. 33, 229–239 (2014)

    Google Scholar 

  19. Saxon, L.A., Hayes, D.L., Gilliam, F.R., Heidenreich, P.A., Day, J., Seth, M., Meyer, T.E., Jones, P.W., Boehmer, J.P.: Long-term outcome after ICD and CRT implantation and influence of remote device follow-up. the ALTITUDE survival study. Circulation 122, 2359–2367 (2010)

    Article  Google Scholar 

  20. Conraads, M., Tavazzi, L., Santini, M., et al.: Sensitivity and positive predictive value of implantable intrathoracic impedance monitoring as a predictor of heart failure hospitalizations: the SENSE-HF trial. Eur. Heart J. 32, 2266–2273 (2011)

    Article  Google Scholar 

  21. Adamson, P.B., Gold, M.R., Bennett, T., et al.: Continuous hemodynamic monitoring in patients with mild to moderate heart failure: results of the Reducing Decompensation Events Utilizing Intracardiac Pressures in Patients with Chronic Heart Failure (REDUCEhf) trial. Congest Heart Fail. 17, 248–254 (2011)

    Article  Google Scholar 

  22. Braunschweig, F., Ford, I., Conraads, V., et al.: Can monitoring of intrathoracic impedance reduce morbidity and mortality in patients with chronic heart failure? rationale and design of the Diagnostic Outcome Trial in Heart Failure (DOT-HF). Eur. J. Heart Fail 10, 907–916 (2008)

    Article  Google Scholar 

  23. Abraham, W.T., Compton, S., Haas, G., Foreman, B., Canby, R.C., Rishel, R., et al.: Intrathoracic impedance vs daily weight monitoring for predicting worsening heart failure events: results of the Fluid Accumulation Status Trial (FAST). Congest. Heart Fail. 17(2), 51–55 (2011)

    Article  Google Scholar 

  24. Catanzariti, D., Lunati, M., Landolina, M., et al.: Monitoring intrathoracic impedance with an implantable defibrillator reduces hospitalizations in patients with heart failure. Pacing Clin. Electrophysiol. PACE 32, 363–370 (2009)

    Article  Google Scholar 

  25. Landolina, M., Perego, G.B., Lunati, M., et al.: Remote monitoring reduces healthcare use and improves quality of care in heart failure patients with implantable defibrillators: the Evolution of Management Strategies of Heart Failure Patients With Implantable Defibrillators (EVOLVO) study. Circulation 125, 2985–2992 (2012)

    Article  Google Scholar 

  26. Conraads, V.M., Spruit, M.A., Braunschweig, F., Cowie, M.R., Tavazzi, L., Borggrefe, M., Hill, M.R.S., Jacobs, S., Gerritse, B., van Veldhuisen, D.J.: Physical activity, measured with implanted devices, predicts patient outcome in chronic heart failure. Circ. Heart Fail. 7(2), 279–287 (2014)

    Article  Google Scholar 

  27. Hindricks, G. et al.: IN-TIME: the influence of implant-based home monitoring on the clinical management of heart failure patients with an impaired left ventricular function. Eur. Heart J., 34(suppl 1) (2013)

    Google Scholar 

  28. Mittal, S. et al.: Increased adherence to remote monitoring is associated with reduced mortality in both pacemaker and defibrillator patients. Heart Rhythm 2014, the Heart Rhythm Society’s 35th Annual Scientific Sessions (2014)

    Google Scholar 

  29. Varma, N., Epstein, A.E., Irimpen, A., Schweikert, R., Love, C.: efficacy and safety of automatic remote monitoring for implantable cardioverter-defibrillator follow-up. the Lumos-T Safely Reduces Routine Office Device Follow-Up (TRUST) trial. Circulation 122, 325–332 (2010)

    Article  Google Scholar 

  30. Crossley, G., Boyle, A., Vitense, H., Chang, Y., Mead for the CONNECT Investigators, R.H.: The CONNECT (Clinical Evaluation of Remote Notification to Reduce Time to Clinical Decision) trial. the value of wireless remote monitoring with automatic clinician alerts. J. Am. Coll. Cardiol. 57, 1181–1189 (2011)

    Article  Google Scholar 

  31. Masella, C., Zanaboni, P., di Stasi, F., et al.: Assessment of a remote monitoring system for implantable cardioverter defibrillators. J. Telemed. Telecare 14, 290–294 (2008)

    Article  Google Scholar 

  32. Marzegalli, M., Lunati, M., Landolina, M., et al.: Remote monitoring of CRT–ICD: the multicenter Italian CareLink evaluation – ease of use, acceptance, and organizational implications. Pacing Clin. Electrophysiol. 31, 1259–1264 (2008)

    Article  Google Scholar 

  33. Klersy, C., De Silvestri, A., Gabutti, G., Raisaro, A., Curti, M., Regoli, F., Auricchio, A.: Economic impact of remote patient monitoring: an integrated economic model derived from a meta-analysis of randomized controlled trials in heart failure. Eur. J. Heart Fail. 13(4), 450–459 (2011)

    Article  Google Scholar 

  34. Calò, L., Gargaro, A., De, R.E., Palozzi, G., Sciarra, L., Rebecchi, M., Guarracini, F., Fagagnini, A., Piroli, E., Lioy, E., Chirico, A.: Economic impact of remote monitoring on ordinary follow-up of implantable cardioverter defibrillators as compared with conventional in-hospital visits. A single-center prospective and randomized study. J. Interv. Card. Electrophysiol. 37(1), 69–78 (2013)

    Article  Google Scholar 

  35. Guedon-Moreau, L., Lacroix, D., Sadoul, N., Clementy, J., Kouakam, C., Hermida, J.-S., Aliot, E., Kacet, S., ECOST trial Investigators.: Costs of remote monitoring vs. ambulatory follow-ups of implanted cardioverter defibrillators in the randomized ECOST study. Europace. doi:10.1093/europace/euu012

  36. Costa, P.D., Rodrigues, P.P., Reis, A.H., et al.: A review on remote monitoring technology applied to implantable electronic cardiovascular devices. Telemed. J. E. Health 16, 1042–1050 (2010)

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Laboratory of Pacing and Electrophysiology, Cardiology Departement, Santa Marta Hospital, Lisbon, Portugal

    Mario Oliveira, Pedro S. Cunha & Nogueira da Silva

Authors
  1. Mario Oliveira
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Pedro S. Cunha
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Nogueira da Silva
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mario Oliveira .

Editor information

Editors and Affiliations

  1. ESEO, ANGERS CEDEX 02, France

    Guy Plantier

  2. Cognitive Systems Lab., Karlsruhe Institute of Technology, Karlsruhe, Baden-Württemberg, Germany

    Tanja Schultz

  3. Technical University of Lisbon, Lisbon, Portugal

    Ana Fred

  4. New University of Lisbon, Lisboa, Portugal

    Hugo Gamboa

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this paper

Cite this paper

Oliveira, M., Cunha, P.S., da Silva, N. (2015). Managing Systems in Cardiac Remote Monitoring: A Complex Challenge Turned into an Important Clinical Tool. In: Plantier, G., Schultz, T., Fred, A., Gamboa, H. (eds) Biomedical Engineering Systems and Technologies. BIOSTEC 2014. Communications in Computer and Information Science, vol 511. Springer, Cham. https://doi.org/10.1007/978-3-319-26129-4_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-26129-4_1

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-26128-7

  • Online ISBN: 978-3-319-26129-4

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics

Search

Navigation