title: Current clinical evidence for remote patient management.
abstract: Pacemaker (PM) and implantable cardioverter defibrillator (ICD) patients are ideally suited to remote management in the form of remote follow-up as well as of remote monitoring, which are both acts of telemedicine. Large randomized trials, such as TRUST, COMPAS, CONNECT, ECOST and EVOLVO, and the huge ALTITUDE registry provided a high level of evidence for the multiple advantages of remote management. These trials demonstrated the capability of early detection of events, the ability to reduce the incidence of inappropriate shocks and also of all charged shocks and this despite fewer in-clinic visits for the patients. The studies also demonstrated the safety of remote management of ICD and PM patients and moreover its positive impact on the survival of patients. Thereby, remote monitoring is clinically much more effective and efficient than conventional follow-up.
authors.affiliation: Hôpital Cardiologique, CHRU de Lille, Boulevard du Professeur Jules Leclercq, Lille Cedex, France. laurence.guedon@chru-lille.fr
authors.forename: Laurence
authors.initials: L
authors.lastname: Guédon-Moreau
authors.forename: Philippe
authors.initials: P
authors.lastname: Mabo
authors.forename: Salem
authors.initials: S
authors.lastname: Kacet
mesh_terms: D017147:Defibrillators, Implantable / Q000706:statistics & numerical data; D003936:Diagnosis, Computer-Assisted; D015716:Electrocardiography, Ambulatory / Q000706:statistics & numerical data*; D019317:Evidence-Based Medicine; D006331:Heart Diseases / Q000175:diagnosis* / Q000401:mortality* / Q000517:prevention & control*; D006801:Humans; D010138:Pacemaker, Artificial / Q000706:statistics & numerical data; D010346:Patient Care Management / Q000706:statistics & numerical data; D015995:Prevalence; D019736:Prostheses and Implants / Q000706:statistics & numerical data*; D012307:Risk Factors; D015996:Survival Rate; D017216:Telemedicine / Q000295:instrumentation*; D059015:Wireless Technology / Q000706:statistics & numerical data
keywords: Implantable cardioverter defibrillator; Pacemaker; Remote monitoring; Telemedicine