Implication of real-time telemonitoring system in the diagnostics of cardiac diseases

Abstract

Abstract Objectives We assessed the implication of a live telemonitoring system Check Point Cardio with real-time remote diagnostics in the diagnosis of a wide range of cardiac diseases- from rhythm disturbances to ischaemic heart disease. Methods and results In the period between 10.01.2017 and 10.01.2019 a total of 14172 patients were monitored. The mean monitoring period for the whole group was 7.76 (±4.5) days. The primary indication for real-time monitoring was rhythm and conduction abnormalities (66%) and ischemia detection (34%). In 2087 (14,8%) of the patient a clinically significant pathological finding was observed. A total of 603 (4,3%) patients were referred to a planned hospitalization with the most common reasons- ST segment deviation (450 pts), clinically significant bradycardia due to AV block- (21 pts); Sinus arrest/SA block (90 pts) and pacemaker malfunction in 20 patients, wide complex tachycardia was observed in 7 patients. In addition to that 42 patients were referred to an emergent hospitalization after a contact by our team. From those patients 30 were with ST segment elevation, 10 were with ST- segment depression and 2 were with sustained wide complex tachycardia. Conclusion Real-time telemonitoring accompanied with real-time remote diagnostics is a reliable method for diagnosis of wide-range cardiac diseases. The possibility of immediate diagnosis and contact with the patient, combined with GPS localization, allows a fast reaction in case of an emergent situation. Funding Acknowledgement Type of funding source: None