Home Monitoring System In The Application Of Instrument Treatment Of Arrhythmia

Home monitoring remote control of cardiovascular implantable electronic devices patients in clinical[Aims] The remote monitoring of cardiovascular implantable electronic devices (CIED) promotes accurate super-vision of the patient and device. Alert settings appear to be a crucial parameter of its efficacy. The purpose of our study was to evaluate various settings for alerts and alert message management in patients with CIED.[Methods] We prospectively evaluated244patients who were referred to our electrophysiological centres for a pacemaker (187patients)、ICD (46patients) and CRT/CRTD(11patients) implant in which remote monitoring was activated (Biotronik Home Monitoring,Biotronik, Berlin, Germany).[Results] During a mean follow-up of420±305days, we received102568transmissions and2223alerts. In the pacemaker group, during a mean follow-up of432±318days, we received80803transmissions and1455alert. The alerts that were most frequently activated were those concerning surveying impedances, sensing and mode switching, as well as missing transmissions. In the ICD group, during a mean follow-up of312±170days, we received14396transmissions and403alert. The alerts nearly always activated were those concerning a detection setoff, critical values of impedance, or ineffective maximum energy shock. In the CRT/CRTD group, the alerts nearly always activated were those concerning number of ven. runs above limit, number of ven. episodes above limit, or number of PVC per day above limit.[Conclusions] Home monitoring allowed the early and reliable detection of CIED failure without requiring any patient intervention.