Remote monitoring of implantable pacemakers: in-office setup significantly improves successful data transmission.
Clin Cardiol
; 36(10): 634-7, 2013 Oct.
Article
em En
| MEDLINE
| ID: mdl-24105924
ABSTRACT
BACKGROUND:
Remote wireless follow-up of implanted pacemakers (PM) has become an attractive method of follow-up. Although wireless PM follow-up has several advantages compared with transtelephonic and office-based follow-up, its utility depends on successful transmission.HYPOTHESIS:
Initial in-office setup of wireless PM will improve transmission rate as compared with home setup.METHODS:
A total of 202 consecutive patients from 2 medical centers were included in this retrospective study. Patients in the home setup group (N = 101) had traditional home setup of wireless PM, whereas patients in the in-office group (N = 101) had setup of PMs by allied health professionals during the postoperative office visit. Successful transmission was defined as successful initial wireless transmission of PM data by 2 months postimplant.RESULTS:
Of the 101 patients in the home setup group, 22 (22%) patients had successful transmission. Of the 101 patients in the in-office group, 92 (91%) patients had successful transmission (P < 0.0001). Logistic regression analysis showed that that the in-office group was independently associated with successful transmission (odds ratio 114.5; 95% confidence interval 32.1-408.4; P < 0.0001).CONCLUSIONS:
In patients implanted with PM capable of remote wireless data transmission, initial home setup of the wireless monitoring device was frequently unsuccessful. In-office PM setup was associated with a significantly higher rate of successful transmission.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Visita a Consultório Médico
/
Marca-Passo Artificial
/
Arritmias Cardíacas
/
Telemetria
/
Estimulação Cardíaca Artificial
/
Telemedicina
/
Tecnologia sem Fio
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Clin Cardiol
Ano de publicação:
2013
Tipo de documento:
Article