Ono Maki, Varma Niraj
Department of Cardiology, Kameda General Hospital, 929 Higashi-cho, Kamogawa City, Chiba 296-8602, Japan; Cardiac Pacing and Electrophysiology, Heart and Vascular Institute, Cleveland Clinic, J2-2, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
Cardiac Pacing and Electrophysiology, Heart and Vascular Institute, Cleveland Clinic, J2-2, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
Card Electrophysiol Clin. 2018 Mar;10(1):43-58. doi: 10.1016/j.ccep.2017.11.005.
This review aims to cover the latest evidence of remote monitoring of cardiac implantable electronic devices for the management of atrial fibrillation and heart failure. Remote monitoring is useful for early detection for device-detected atrial fibrillation, which increases the risk of thromboembolic events. Early anticoagulation based on remote monitoring potentially reduces the risk of stroke, but optimal alert setting needs to be clarified. 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.
本综述旨在涵盖用于心房颤动和心力衰竭管理的心脏植入式电子设备远程监测的最新证据。远程监测有助于早期发现设备检测到的心房颤动，而心房颤动会增加血栓栓塞事件的风险。基于远程监测的早期抗凝治疗可能会降低中风风险，但最佳警报设置仍需明确。具有自动传输功能的多参数监测对心力衰竭管理很有用。在心力衰竭管理中，有必要提高对远程监测的依从性，并制定针对传输警报及其管理的最佳算法。
