Key result
Remote cardiac rhythm monitoring systems reduce the need for office visits and allow earlier detection of arrhythmic events, though randomized trials confirming improved clinical outcomes are lacking.
Remote monitoring of cardiac rhythm reduces office visits and enables early arrhythmia detection, but robust randomized trial data demonstrating improved clinical outcomes are still lacking.
May reduce visits and enable earlier detection; leaves open outcome benefits absent RCTs.
Remote monitoring systems, in their current forms, are networked communication solutions allowing exchange of digitized data from implanted or wearable devices. These data usually include electrocardiographic recordings, but nowadays they may encompass much more than that, allowing a continuously updated knowledge of a multitude of device‐ or patient‐related parameters. Remote monitoring has been shown, as one would have expected, to reduce the need for office visits and allow earlier detection—and thus management—of arrhythmic events. However, although there are hints that they may also be associated with improved clinical outcomes, the absence of randomized trials dictates a cautious interpretation of existing evidence. Furthermore, there are still several questions regarding their cost‐effectiveness, the patient populations that could benefit from them, as well as how the transmitted data should be interpreted and acted upon by physicians. In this review, we present and critically examine the current state of affairs of remote cardiac rhythm monitoring systems. Answer questions and earn CME : https://wileyhealthlearning.com/Activity2/4596216/Activity.aspx
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Deftereos et al. (2016) conducted a review in Cardiac arrhythmias. Remote cardiac rhythm monitoring systems was evaluated. Remote cardiac rhythm monitoring systems reduce the need for office visits and allow earlier detection of arrhythmic events, though randomized trials confirming improved clinical outcomes are lacking.
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