Wireless Home Monitoring in Permanent Cardiac Stimulation: is it Especially Suitable in Congestive Heart Failure Patients?
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.
KeywordsNYHA Class Congestive Heart Failure Patient Home Monitoring Heart Rate Variation Short Message System
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