Abstract

How to encourage patients with implanted electronic cardiac devices to participate in remote monitoring and follow-up?

Highlights

  • Around 1904 remote monitoring of electrical cardiac activity was carried out for the first time by Willem Einthoven: he recorded the one-lead ECG of a patient admitted to the Leiden University Clinic in his Physiology Laboratory at a distance of 1.5 km from the hospital

  • Despite the favourable messages of these papers, several obstacles block the employment of cardiac implanted electronic device (CIED) remote monitoring in Western general practice

  • The overwhelming amount of data that can arrive at the desk of the cardiologist or allied professional 24 h a day/7 days a week [6] and wait for reply or action or not, together with the sometimes unknown potential clinical relevance of the automated generated plots and graphs are serious pitfalls

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Summary

Introduction

Around 1904 remote monitoring of electrical cardiac activity was carried out for the first time by Willem Einthoven: he recorded the one-lead ECG of a patient admitted to the Leiden University Clinic in his Physiology Laboratory at a distance of 1.5 km from the hospital. Despite the favourable messages of these papers, several obstacles block the employment of CIED remote monitoring in Western general practice. N. van Hemel (*) Department of Cardiology, University Medical Center Utrecht, Heidelberglaan 100, 3584, CX Utrecht, the Netherlands e-mail: n.m.vanhemel@hetnet.nl reimbursement, and of legal arrangements of various parties, and in particular the contested willingness of some CIED patients to participate in remote monitoring inhibit further employment of this remote care [7].

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