Heart Rhythm Services, Division of Cardiology, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Heart Rhythm Services, Division of Cardiology, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Can J Cardiol. 2018 Jul;34(7):941-944. doi: 10.1016/j.cjca.2018.01.003. Epub 2018 Jan 8.
Over the past decade, technological advancements have transformed the delivery of care for arrhythmia patients. From early transtelephonic monitoring to new devices capable of wireless and cellular transmission, remote monitoring has revolutionized device care. In this article, we review the current evolution and evidence for remote monitoring in patients with cardiac implantable electronic devices. From passive transmission of device diagnostics, to active transmission of patient- and device-triggered alerts, remote monitoring can shorten the time to diagnosis and treatment. Studies have shown that remote monitoring can reduce hospitalization and emergency room visits, and improve survival. Remote monitoring can also reduce the health care costs, while providing increased access to patients living in rural or marginalized communities. Unfortunately, as many as two-thirds of patients with remote monitoring-capable devices do not use, or are not offered, this feature. Current guidelines recommend remote monitoring and interrogation, combined with annual in-person evaluation in all cardiac device patients. Remote monitoring should be considered in all eligible device patients and should be considered standard of care.
在过去的十年中，技术的进步改变了心律失常患者的护理方式。从早期的远程电话监测到能够进行无线和蜂窝传输的新设备，远程监测彻底改变了设备的护理方式。本文综述了心脏植入式电子设备患者远程监测的最新进展和证据。从设备诊断的被动传输，到患者和设备触发警报的主动传输，远程监测可以缩短诊断和治疗的时间。研究表明，远程监测可以减少住院和急诊就诊次数，并提高生存率。远程监测还可以降低医疗保健成本，同时为生活在农村或边缘社区的患者提供更多的医疗服务。不幸的是，多达三分之二的具有远程监测功能的设备患者并未使用或未提供该功能。目前的指南建议对所有心脏设备患者进行远程监测和询问，并结合每年一次的当面评估。应该考虑对所有符合条件的设备患者进行远程监测，并将其视为标准护理。
