a Department of Cardiology , Kameda General Hospital , Chiba , Japan.
b Heart and Vascular Institute, J2-2 Cardiac Pacing and Electrophysiology, Cleveland Clinic , Cleveland , OH , USA.
Expert Rev Med Devices. 2017 May;14(5):335-342. doi: 10.1080/17434440.2017.1306438. Epub 2017 Mar 28.
Strong evidence exists for the utility of remote monitoring in cardiac implantable electronic devices for early detection of arrhythmias and evaluation of system performance. The application of remote monitoring for the management of chronic disease such as heart failure has been an active area of research. Areas covered: This review aims to cover the latest evidence of remote monitoring of implantable cardiac defibrillators in terms of heart failure prognosis. This article also updates the current technology relating to the method and discusses key factors to be addressed in order to better use the approach. PubMed and internet searches were conducted to acquire most recent data and technology information. Expert commentary: Multiparameter monitoring with automatic transmission is useful for heart failure management. Improved adherence to remote monitoring and an optimal algorithm for transmitted alerts and their management are warranted in the management of heart failure.
大量证据表明，远程监测在心脏植入式电子设备中具有实用价值，可用于早期检测心律失常和评估系统性能。远程监测在心力衰竭等慢性病管理中的应用一直是研究的活跃领域。
本综述旨在涵盖心脏再同步治疗除颤器（ICD）远程监测心力衰竭预后的最新证据。本文还更新了与该方法相关的当前技术，并讨论了为了更好地利用该方法需要解决的关键因素。通过 PubMed 和互联网搜索获取最新的数据和技术信息。
具有自动传输功能的多参数监测对心力衰竭管理很有用。为了更好地管理心力衰竭，需要提高对远程监测的依从性，并优化传输警报及其管理的算法。
