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November 12, 2008EP Europace

Remote monitoring enabled the treating physician to start therapeutic interventions (anticoagulation, anti-arrhythmic drug modification, or cardioversion) on average 148 days earlier than routine follow-up.

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Why the study?

Does remote monitoring of implanted devices enable earlier detection of atrial fibrillation and therapeutic intervention compared to routine follow-up?

Population

166 patients with implanted pacemakers or ICDs

Comparison

Remote monitoring technology for atrial… vs Routine follow-up

Design

Editorial

Follow-up

18 months

Authors

CICarsten W. Israel

Discussion

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Overview

May enable earlier AF interventions in device patients; hypothesis-generating and requires randomized trials before practice change.

Structured PICO

Does remote monitoring of implanted devices enable earlier detection of atrial fibrillation and therapeutic intervention compared to routine follow-up?

P
Population
166 patients with implanted pacemakers or ICDs
I
Intervention
Remote monitoring technology for atrial fibrillation detection
C
Comparator
Routine follow-up
O
Outcome
Time to atrial fibrillation detection and therapeutic interventionsurrogate

Remote monitoring of implanted devices facilitates significantly earlier detection of asymptomatic atrial fibrillation, allowing for prompt initiation of anticoagulation and anti-arrhythmic therapies.

Limitations

  • Observational study design
  • Not intended to assess clinical benefits such as reduction of stroke, hospitalizations, or mortality

Cite This Study

Carsten W. Israel (2008) studied this question.

synapsesocial.com/papers/6a8735baf87adc0a02ca3518https://doi.org/10.1093/europace/eun355
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Remote monitoring and the twin epidemics of atrial fibrillation and chronic heart failure2013 · 7 citations
  2. 2Disease management: atrial fibrillation and Home Monitoring2013 · 26 citations
  3. 3New onset of chest pain: the importance of remote monitoring2019
  4. 4Remote Monitoring for Atrial Fibrillation2008 · 7 citations
  5. 5Cost‐effectiveness of early detection of atrial fibrillation via remote control of implanted devices2014 · 17 citations