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- Titel:
Smartphone-based cardiac implantable electronic device remote monitoring: improved compliance and connectivity.
- Dokumenttyp:
- Journal Article
- Autor(en):
- Manyam, Harish; Burri, Haran; Casado-Arroyo, Ruben; Varma, Niraj; Lennerz, Carsten; Klug, Didier; Carr-White, Gerald; Kolli, Kranthi; Reyes, Ignacio; Nabutovsky, Yelena; Boriani, Giuseppe
- Abstract:
- AIMS: Remote monitoring (RM) is the standard of care for follow up of patients with cardiac implantable electronic devices. The aim of this study was to compare smartphone-based RM (SM-RM) using patient applications (myMerlinPulse™ app) with traditional bedside monitor RM (BM-RM). METHODS AND RESULTS: The retrospective study included de-identified US patients who received either SM-RM or BM-RM capable of implantable cardioverter defibrillators or cardiac resynchronization therapy defibrillators (Abbott, USA). Patients in SM-RM and BM-RM groups were propensity-score matched on age and gender, device type, implant year, and month. Compliance with RM was quantified as the proportion of patients enrolling in the RM system (Merlin.net™) and transmitting data at least once. Connectivity was measured by the median number of days between consecutive transmissions per patient. Of the initial 9714 patients with SM-RM and 26 679 patients with BM-RM, 9397 patients from each group were matched. Remote monitoring compliance was higher in SM-RM; significantly more patients with SM-RM were enrolled in RM compared with BM-RM (94.4 vs. 85.0%, P < 0.001), similar number of patients in the SM-RM group paired their device (95.1 vs. 95.0%, P = 0.77), but more SM-RM patients transmitted at least once (98.1 vs. 94.3%, P < 0.001). Connectivity was significantly higher in the SM-RM, with patients transmitting data every 1.2 (1.1, 1.7) vs. every 1.7 (1.5, 2.0) days with BM-RM (P < 0.001) and remained better over time. Significantly more SM-RM patients utilized patient-initiated transmissions compared with BM-RM (55.6 vs. 28.1%, P < 0.001). CONCLUSION: In this large real-world study, patients with SM-RM demonstrated improved compliance and connectivity compared with BM-RM.
- Zeitschriftentitel:
- Eur Heart J Digit Health
- Jahr:
- 2023
- Band / Volume:
- 4
- Heft / Issue:
- 1
- Seitenangaben Beitrag:
- 43-52
- Volltext / DOI:
- doi:10.1093/ehjdh/ztac071
- PubMed:
- http://view.ncbi.nlm.nih.gov/pubmed/36743871
- TUM Einrichtung:
- Klinik für Herz- und Kreislauferkrankungen im Erwachsenenalter (Prof. Schunkert)
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