2023 HRS/EHRA/APHRS/LAHRS Expert Consensus Statement on Practical Management of the Remote Device Clinic

• DOI: 10.1093/europace/euad123
• Publication Date: 2023-05-20T04:26:26Z
• Authors: Aileen M Ferrick; Satish R Raj; Thomas Deneke; Pipin Kojodjojo; Nestor Lopez-Caba...; Haruhiko Abe; Serge Boveda; Derek S Chew; Jong-Il Choi; Nikolaos Dagres; Aarti S Dalal; Brynn E Dechert; Camille G Frazier...; Olivia Gilbert; Janet K Han; Sherri Hewit; Christine Kneeland; Starr DeEllen Mirza; Suneet Mittal; Renato Pietro Ricci; Mary Runte; Susan Sinclair; Ricardo Alkmim-Te...; Bert Vandenberk; Niraj Varma; Elizabeth Davenport; Vicki Freedenberg; Taya V Glotzer; Jin-Long Huang; Takanori Ikeda; Daniel B Kramer; David Lin; Ulises Rojel-Mart...; Markus Stühlinger; Paul D Varosy
• Keywords: Cardiac & Cardiovascular Systems; Guidelines; INAPPROPRIATE SHOCKS; CARDIOVERTER-DEFIBRILLATOR PATIENTS; EHRA Document; Diseases of the circulatory (Cardiovascular) system; Telemetry; Humans; Cardiovascular implantable electronic device; Monitoring, Physiologic; HEART-FAILURE PATIENTS; Connectivity; Science & Technology; PACING-INDUCED CARDIOMYOPATHY; SOCIETY TASK-FORCE; Alerts; ATRIAL-FIBRILLATION DETECTION; 3. Good health; Defibrillators, Implantable; Remote monitoring; RC666-701; Remote Sensing Technology; Cardiovascular System & Cardiology; Programming; IMPLANTABLE ELECTRONIC DEVICES; CARDIAC RESYNCHRONIZATION THERAPY; HEALTH-CARE UTILIZATION; FOLLOW-UP; Life Sciences & Biomedicine; Device clinic; CIED

Abstract Remote monitoring is beneficial for the management of patients with cardiovascular implantable electronic devices by impacting morbidity and mortality. With increasing numbers of patients using remote monitoring, keeping up with higher volume of remote monitoring transmissions creates challenges for device clinic staff. This international multidisciplinary document is intended to guide cardiac electrophysiologists, allied professionals, and hospital administrators in managing remote monitoring clinics. This includes guidance for remote monitoring clinic staffing, appropriate clinic workflows, patient education, and alert management. This expert consensus statement also addresses other topics such as communication of transmission results, use of third-party resources, manufacturer responsibilities, and programming concerns. The goal is to provide evidence-based recommendations impacting all aspects of remote monitoring services. Gaps in current knowledge and guidance for future research directions are also identified.