CV Remote Solutions, Stokesdale, North Carolina, USA.
Cardiac Rhythm and Heart Failure Management, Medtronic, Mounds View, Minnesota, USA.
J Cardiovasc Electrophysiol. 2024 Feb;35(2):341-345. doi: 10.1111/jce.16162. Epub 2024 Jan 1.
The increasing use of insertable cardiac monitors (ICMs) for long-term continuous arrhythmia monitoring creates a high volume of transmissions and a significant workload for clinics. The ability to remotely reprogram device alert settings without in-office patient visits was recently introduced, but its impact on clinic workflow compared to the previous ICM iteration is unknown.
The aim of this real-world study was to evaluate the impact of device reprogramming capabilities on ICM alert burden and on clinic workflow. Deidentified data was obtained from US patients and a total of 19 525 receiving a LINQ II were propensity score-matched with 19 525 implanted with LINQ TruRhythm (TR) ICM based on age and reason for monitoring.
After reprogramming, ICM alerts reduced by 20.5% (p < .001). Compared with patients monitored with LINQ TR, patients with LINQ II had their device reprogrammed sooner after implant and more frequently during follow-up. Adoption of remote programming was projected to lead to an annual total clinic time savings of 211 h per 100 ICM patients managed.
These data suggest that utilization of ICM alert reprogramming has increased with remote capabilities, which may reduce clinic and patient burden for ICM follow-up and free clinician time for other valuable patient care activities.
随着可植入式心脏监测器（ICM）用于长期连续心律失常监测的使用越来越多，这产生了大量的传输和大量的工作负荷给诊所。最近引入了远程重新编程设备警报设置的功能，而无需患者到诊所就诊，但与之前的 ICM 迭代相比，其对诊所工作流程的影响尚不清楚。
本真实世界研究旨在评估设备重新编程功能对 ICM 警报负担和诊所工作流程的影响。从美国患者中获得了匿名数据，共对 19525 名植入 LINQ II 的患者和 19525 名植入 LINQ TruRhythm（TR）ICM 的患者进行倾向评分匹配，匹配的因素包括年龄和监测原因。
重新编程后，ICM 警报减少了 20.5%（p < 0.001）。与使用 LINQ TR 监测的患者相比，植入 LINQ II 的患者在植入后更早地对设备进行了重新编程，并且在随访期间更频繁地进行了重新编程。预计采用远程编程将导致每 100 名接受 ICM 管理的患者每年总共节省 211 小时的诊所时间。
这些数据表明，随着远程功能的增加，ICM 警报重新编程的利用率有所增加，这可能会减轻 ICM 随访的诊所和患者负担，并为临床医生腾出时间用于其他有价值的患者护理活动。
