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01-02-2012 | Special article

Remote care: bidding our ICD patients a fond farewell?

Auteur: T. A. Simmers

Gepubliceerd in: Netherlands Heart Journal | Uitgave 2/2012

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Abstract

Remote follow-up has proven its safety and efficacy in the literature, and indeed in daily use. It saves the patient time and travel, allows earlier detection of events, and reduces inappropriate shocks. At the same time, it is not infallible and definitely not a universal substitute for in-office visits, as the 5 cases below demonstrate. It saves time, but also takes some time, with problems and challenges we were hitherto not familiar with. Hopes for the future include uniform definitions regarding policy and responsibilities, reimbursement, even better connectivity, better alert management and remote programmability. To end on a more utopic note, it would be a huge step forward if devices and leads were so reliable that we did not need remote care to detect malfunctions.
Literatuur
1.
go back to reference Brugada P. What evidence do we have to replace in-hospital cardioverter defibrillator follow-up? Clin Res Cardiol. 2006;95(III):3–9. Brugada P. What evidence do we have to replace in-hospital cardioverter defibrillator follow-up? Clin Res Cardiol. 2006;95(III):3–9.
2.
go back to reference Varma N, Epstein AE, Irimpen A, et al. 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. 2010;122:325–32.PubMedCrossRef Varma N, Epstein AE, Irimpen A, et al. 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. 2010;122:325–32.PubMedCrossRef
3.
go back to reference Crossley GH, Boyle A, Vitense H, et al. 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. 2011;57:1181–9.PubMedCrossRef Crossley GH, Boyle A, Vitense H, et al. 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. 2011;57:1181–9.PubMedCrossRef
Metagegevens
Titel
Remote care: bidding our ICD patients a fond farewell?
Auteur
T. A. Simmers
Publicatiedatum
01-02-2012
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Netherlands Heart Journal / Uitgave 2/2012
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI
https://doi.org/10.1007/s12471-011-0241-y