Saxon Leslie A, Boehmer John P, Neuman Stacey, Mullin Christopher M
University of Southern California, Los Angeles, California, USA.
J Card Fail. 2007 May;13(4):241-6. doi: 10.1016/j.cardfail.2006.12.004.
Heart failure (HF) ambulatory disease management programs appear to offer the greatest benefit to HF patients at highest risk, defined as having New York Heart Association (NYHA) functional Class III or IV symptoms. The Latitude Patient Management System is the first HF management tool to use wireless telemetry present in a cardiac resynchronization therapy defibrillator (CRT-D) device that is linked to remotely collect blood pressure and weight measures, permitting a single transmission reporting device data. Potential advantages of this system include ease of data transmissions, correlation among measures of HF status, arrhythmic events, and device performance. However, the use and ultimate utility of these combined features for patient management are untested.
The Remote Active Monitoring in Patients with Heart Failure (RAPID-RF) study is a multicenter registry that will enroll up to 1000 patients on the Latitude Patient Management System from approximately 100 centers. The primary objective is to examine physician responses to Latitude Active Monitoring data alerts by assessing alert-related medical interventions. Minimum follow-up will be 3 months after implant with a maximum follow-up time of 24 months after implant.
The RAPID-RF study will provide important preliminary data on how remotely collected HF and arrhythmic surveillance data alter the management of HF patients with CRT-D devices.
心力衰竭（HF）门诊疾病管理项目似乎对高危HF患者益处最大，高危患者定义为有纽约心脏协会（NYHA）功能Ⅲ或Ⅳ级症状。Latitude患者管理系统是首个利用心脏再同步治疗除颤器（CRT-D）设备中存在的无线遥测技术的HF管理工具，该设备与远程收集血压和体重测量值相连接，允许通过单一传输报告设备数据。该系统的潜在优势包括数据传输简便、HF状态测量值、心律失常事件和设备性能之间的相关性。然而，这些组合功能用于患者管理的使用情况及最终效用尚未经过测试。
心力衰竭患者远程主动监测（RAPID-RF）研究是一项多中心注册研究，将从约100个中心招募多达1000名使用Latitude患者管理系统的患者。主要目标是通过评估与警报相关的医疗干预措施来检查医生对Latitude主动监测数据警报的反应。植入后最短随访时间为3个月，植入后最长随访时间为24个月。
RAPID-RF研究将提供关于远程收集的HF和心律失常监测数据如何改变使用CRT-D设备的HF患者管理的重要初步数据。
