Key result
Remote CIED monitoring in the very elderly offers cost and diagnostic benefits despite technology barriers.
Why the study?
This review aims to describe the role of CIED remote monitoring in the very elderly and highlight its merits and possible drawbacks.
Remote monitoring of CIEDs in very elderly patients provides significant logistical and clinical benefits but requires addressing technological barriers and reduced patient-physician interaction.
May offer logistical benefits for very elderly CIED patients; leaves open need for trials addressing technology barriers.
Cardiac implantable electronic devices (CIEDs) offer the benefit of remote monitoring and decision making and find particular applications in special populations such as the elderly. Less transportation, reduced costs, prompt diagnosis, a sense of security, and continuous real-time monitoring are the main advantages. On the other hand, less physician-patient interactions and the technology barrier in the elderly pose specific problems in remote monitoring. CIEDs nowadays are abundant and are mostly represented by rhythm control/monitoring devices, whereas hemodynamic remote monitoring devices are gaining popularity and are evolving and becoming refined. Future directions include the involvement of artificial intelligence, yet disparities of availability, lack of follow-up data, and insufficient patient education are still areas to be improved. This review aims to describe the role of CIED in the very elderly and highlight the merits and possible drawbacks.
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Scacciavillani et al. (2024) conducted a review in Cardiac implantable electronic devices in very elderly patients. Remote monitoring of Cardiac Implantable Electronic Devices was evaluated. Remote monitoring of cardiac implantable electronic devices in very elderly patients offers benefits like reduced costs and prompt diagnosis, but is limited by technology barriers.
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