Remote Monitoring for Chronic Disease Management: Atrial Fibrillation and Heart Failure

• Published in: Cardiac electrophysiology clinics Vol. 10; no. 1; p. 43
• Main Authors: Ono, Maki, Varma, Niraj
• Format: Journal Article
• Language: English
• Published: United States 01.03.2018
• Subjects: Atrial Fibrillation - therapy; Defibrillators, Implantable; Heart Failure - therapy; Humans; Monitoring, Physiologic - methods; Pacemaker, Artificial; Telemetry - methods; Heart failure; Pacemaker; Atrial fibrillation; Cardiac implantable electronic devices; Implantable cardioverter defibrillator; Cardiac resynchronization therapy; Remote monitoring
• ISSN: 1877-9190
• DOI: 10.1016/j.ccep.2017.11.005

This review aims to cover the latest evidence of remote monitoring of cardiac implantable electronic devices for the management of atrial fibrillation and heart failure. Remote monitoring is useful for early detection for device-detected atrial fibrillation, which increases the risk of thromboembolic events. Early anticoagulation based on remote monitoring potentially reduces the risk of stroke, but optimal alert setting needs to be clarified. Multiparameter monitoring with automatic transmission is useful for heart failure management. Improved adherence to remote monitoring and an optimal algorithm for transmitted alerts and their management are warranted in the management of heart failure.