Arrhythmias & electrophysiology
Sane Approach to Optimizing the Workload in Remote Monitoring of Cardiovascular Implantable Electronic Devices
Authors' conclusion
Our data indicated that active evaluation of the clinical relevance of all alert transmissions and deactivation of clinically nonrelevant alerts reduce the remote monitoring workload. However, long-term follow-up is needed to ensure that patient safety is not compromised.
Study context
- Population
- Patients with cardiovascular implantable electronic devices under remote monitoringcardiovascular implantable electronic devices, 8182 transmissions
- Participants
- 3,732 cardiovascular implantable electronic devices
- Comparison
- Alert rate from January to December after turning off clinically nonrelevant alerts
- Outcome
- Alert transmissions
Main finding
As reported in the abstract
Alert transmissions
2306
28%
Clinically nonrelevant alerts, of the alert transmissions
57%
n=1290
Further findings
Rate of alerts · January to December
- Decrease in rate of alerts
- 44%
- January versus December, per device per month
- 0.07 versus 0.04
- P
- P = 0.001
Actionable scheduled transmissions
- Scheduled transmissions
- 3335
- Actionable, of the scheduled transmissions
- 11% (364)
- Proportion unchanged during follow-up
- P = 0.08
Safety
- None of the deaths were linked to the adjustment of alert settings
Original publication
Sane Approach to Optimizing the Workload in Remote Monitoring of Cardiovascular Implantable Electronic Devices. Circ Arrhythm Electrophysiol. Published 20 February 2025. doi:10.
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