Why the study?
The continuous expansion of remote monitoring for cardiac implantable electronic devices generated substantial evidence, motivating a summary of challenges and knowledge gaps in the field.
Despite its value in screening and triaging high-risk patients, remote monitoring of cardiac implantable electronic devices faces significant residual challenges such as data security, clinical integration, and resource availability.
Unresolved barriers in security, integration and reimbursement warrant caution in expanding remote monitoring; leaves open evidence-based implementation strategies.
Patients with cardiac implantable electronic devices have usually been scheduled for routine in‑hospital visits. In addition, they are now monitored remotely. The remote monitoring of cardiac implantable electronic devices is a valuable tool to screen and triage patients at very high risk of deterioration. The continuous expansion of remote monitoring in real‑world settings brought a substantial increase of published evidence on the topic. Therefore, this review aims to summarize challenges and knowledge gaps in the field. Challenges that were identified as issues to be solved comprise warranty of data security and accessibility, integration with clinical repositories, patient selection and persistence, and resource availability. Future improvements of telemedicine will need to face these significant residual challenges.
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Malanchini et al. (2021) studied this question.
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