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
Summary
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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More From: Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation
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