Remote monitoring of pacemakers and defibrillators: Effective and safe in Brazil?

Autor:	Rocha MEQA; Department of Medicine, School of Medicine, University of Fortaleza, Fortaleza, Brazil., Lima NA; Division of Cardiology, Department of Internal Medicine, Wayne State University, Detroit, Michigan., Pinho LGB; Department of Statistics and Applied Mathematics, Federal University of Ceara, Fortaleza, Brazil., Gondim DSP; Department of Medicine, School of Medicine, University of Fortaleza, Fortaleza, Brazil., Miná CPC; Postgraduate Program in Cardiovascular Sciences, Federal University of Ceara, Fortaleza, Brazil., Rocha EAQA; Department of Medicine, School of Medicine, UNICHRISTUS, Fortaleza, Brazil., Rocha MCT; Postgraduate Program in Cardiovascular Sciences, Federal University of Ceara, Fortaleza, Brazil., Nobre JS; Department of Statistics and Applied Mathematics, Federal University of Ceara, Fortaleza, Brazil., Pereira FTM; Postgraduate Program in Cardiovascular Sciences, Federal University of Ceara, Fortaleza, Brazil., Prakash P; Division of Cardiology, Department of Internal Medicine, Wayne State University, Detroit, Michigan., Maia FPA; Division of Cardiology, Department of Internal Medicine, Wayne State University, Detroit, Michigan., Rocha EA; Postgraduate Program in Cardiovascular Sciences, Federal University of Ceara, Fortaleza, Brazil.
Jazyk:	angličtina
Zdroj:	Heart rhythm O2 [Heart Rhythm O2] 2022 Dec 16; Vol. 3 (6Part B), pp. 736-742. Date of Electronic Publication: 2022 Dec 16 (Print Publication: 2022).
DOI:	10.1016/j.hroo.2022.10.001
Abstrakt:	Background: The remote monitoring (RM) of cardiac implantable electronic devices (CIEDs) has become a common method of in-home monitoring and follow-up in high-income countries given its effectiveness, safety, convenience, and the possibility of early intervention. However, in Brazil, RM is still underutilized. Objectives: This observational study aims to demonstrate our experience of using RM in Brazil and the predictive factors of RM of CIED follow-up in Brazil. Methods: This was a prospective cohort study of patients with a CIED. Event rates are reported and clinical responses to those findings and outcomes based on the detection of RM. A logistic regression model was performed to identify predictors of more events, with P < .05 for statistical significance. Results: This study evaluated consecutive 119 patients: 30.2% with pacemakers, 42.8% with implantable cardioverter-defibrillator, 22.7% with cardiac resynchronization therapy (CRT) with defibrillator, and 3.3% with CRT with pacemaker. Events were detected in 63.9% of the cases in 29.5 ± 23 months of follow-up. The outcomes found were that 44.5% needed elective evaluation in medical treatment and 23.5% needed immediate evaluation in therapy. Logistic regression analysis showed that the groups with CRT or CRT with defibrillator (75.0%), reduced ejection fraction (76.5%), and New York Heart Association functional class ≥II (75.0%) had the highest RM event rates. Conclusions: RM proved to be effective and safe in the follow-up of patients with CIEDs in Brazil, allowing early interventions and facilitating therapeutic management. (© 2022 Heart Rhythm Society. Published by Elsevier Inc.)
Databáze:	MEDLINE
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