Wireless Home Monitoring in Permanent Cardiac Stimulation: is it Especially Suitable in Congestive Heart Failure Patients?

  • D. Igidbashian
  • M. Barbiero
  • E. Visentin
  • M. Gemelli
Conference paper


Many of the recent developments in the field of implantable pacemakers (PMs) are aimed at improving the documentation of the PM’s function, especially regarding the interaction between the device and the cardiovascular system. This includes the relative weight of intrinsic and PM-induced heart beats, heart rate variations, and the incidence of arrhythmias. These data were developed to enable the device to adapt better and more rapidly to the patient’s specific clinical situation. However, the use of this enlarged amount of data still depends on direct interrogation of the PM’s “memory”, to be performed in a PM clinic. Since the standard follow-up scheme of patients with implantable PMs comprises examinations every 3 to 6 or even 12 months, the reaction time to changes in the patient’s situation can be quite long. As a possible solution of this limitation, a novel technology denominated “home monitoring” has recently been developed.


NYHA Class Congestive Heart Failure Patient Home Monitoring Heart Rate Variation Short Message System 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Stellbrink C, Filzmaier K, Mischke K, Löscher S, Hartmann A (2001) Potential applications of home monitoring in pacemaker therapy - a review with emphasis on atrial fibrillation and congestive heart failure. Prog Biomed Res 6:107–114Google Scholar
  2. 2.
    Igidbashian D, Stellbrink C, Hartmann A, Gill JS, Wunderlich E, Santini M (2002) Benefit of permanent pacemaker follow-up with home monitoring. Pacing Clin Electrophysiol 25:534/47 (Abstract)Google Scholar
  3. 3.
    Igidbashian D, Rigatelli G, Zanchetta L (2002) Feasibility of GSM net based pacemaker data transmission using long-range telemetry. Europace 3[Suppl A]:A71, 89/2 (Abstract)Google Scholar
  4. 4.
    Stellbrink C, Hartmann A, Igidbashian D, Gill JS, Wunderlich E, Santini M (2002) Home monitoring for pacemaker therapy: intermediate results of the first European multicenter study. Pacing Clin Electrophysiol 25:686/655 (Abstract)Google Scholar
  5. 5.
    McMurrey JJ, Stewart S (2002) The burden of heart failure. Eur Heart J 4 [Suppl. D]: D50–D58CrossRefGoogle Scholar
  6. 6.
    Hunt HA, Baker DW, Chin MH, Cinquegrani MP, Feldman AM, Francis GS et al (2001) ACC/AHA guidelines for the evaluation and measurement of chronic heart failure in the adult: executive summary. Circulation 104:2996–3007PubMedCrossRefGoogle Scholar
  7. 7.
    Stellbrink C, Auricchio A, Diem B, Briethardt OE, Klass M, Schöndube FA, Klein H, Messmer BJ, Hanrath P (1999) Potential benefit of biventricular pacing in patients with congestive heart failure and ventricular tachyarrhythmia. Am J Cardiol 83:143D–150DPubMedCrossRefGoogle Scholar
  8. 8.
    Aliot E, de Chillou C, Sadoul N (2002) Ventricular instability and sudden death in patients with heart failure: lessons from clinical trials. Eur Heart J 4 [Suppl D]:D31D42Google Scholar
  9. 9.
    Orn S, Dickstein K (2002) How do heart failure patients die? Eur Heart J 4[Suppl D]: D59–D65CrossRefGoogle Scholar
  10. 10.
    Lechat P, Hulot JS, Escolano S, Mallet A, Leizerovicz A, Grandjean MW, Pochmaliki G, Dargie H (2001) Heart rate and cardiac rhythm relationships with bisoprolol benefit in chronic heart failure in CIBIS II trial. Circulation 103:1428–1433PubMedCrossRefGoogle Scholar
  11. 11.
    Ekman I, Swedberg K (2002) Home-based management of patients with chronic heart failure-focus on content not just form. Eur Heart J 23:1323–1325PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2003

Authors and Affiliations

  • D. Igidbashian
    • 1
  • M. Barbiero
    • 1
  • E. Visentin
    • 1
  • M. Gemelli
    • 1
  1. 1.Cardiology Department, Cardiac Electropysiology and Electrostimulation UnitMater Salutis HospitalLegnagoItaly

Personalised recommendations