Telemonitoring of implanted electrical devices offers the potential to shift follow-up from a strictly device-centered perspective to a patient-centered approach, potentially improving clinical outcomes in heart failure.
Remote monitoring of implantable electrical devices offers the potential to shift clinical care from device-focused follow-up to comprehensive, patient-centered disease management, particularly in heart failure.
Telecardiology may help confront the growing burden of monitoring the reliability of implantable defibrillators/pacemakers. Herein, we suggest that the evolving capabilities of implanted devices to monitor patients' status (heart rhythm, fluid overload, right ventricular pressure, oximetry, etc.) may imply a shift from strictly device-centered follow-up to perspectives centered on the patient (and patient-device interactions). Such approaches could provide improvements in health care delivery and clinical outcomes, especially in the field of heart failure. Major professional, policy, and ethical issues will have to be overcome to enable real-world implementation. This challenge may be relevant for the evolution of our health care systems.
Boriani et al. (Tue,) conducted a review in Heart failure and implanted electrical devices. Telemonitoring of implanted electrical devices was evaluated. Telemonitoring of implanted electrical devices offers the potential to shift follow-up from a strictly device-centered perspective to a patient-centered approach, potentially improving clinical outcomes in heart failure.