Remote monitoring of cardiac implantable devices during COVID-19 outbreak: "keep people safe" and "focus only on health care needs".
Acta Cardiol
; 76(2): 158-161, 2021 Apr.
Article
em En
| MEDLINE
| ID: mdl-33203312
ABSTRACT
BACKGROUND:
The COVID-19 pandemic has challenged the ability of health care organisations to provide adequate care. We report the experience of a national tertiary electrophysiology centre in the management of patients with cardiac implantable electronic devices (CIEDs) through the use of a fully remote follow-up model.METHODS:
We daily and prospectively collected remote monitoring (RM) relevant findings and following clinical actions performed from March 10th to April 3rd 2020, a period of suspension of routine ambulatory activity due to the national lockdown.RESULTS:
During the study period (25 days), we received 2,215 transmissions from 2,955 devices. Among them, 129 patients reported potential clinically actionable RM observations (event rate 12.0/1000 patient-week). In 77 patients (60%), RM events triggered a clinical action, but only 5 patients needed an urgent in-hospital access (4 urgent procedures and 1 device reprogramming).CONCLUSIONS:
In the unprecedented COVID-19 pandemic, RM became an essential tool in healthcare delivery for CIED patients. We observed that RM was effective in "keep people safe" and "focus only on individuals with health care needs".Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Marca-Passo Artificial
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Controle de Doenças Transmissíveis
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Telemedicina
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Desfibriladores Implantáveis
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Pandemias
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COVID-19
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Cardiopatias
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article