Remote monitoring of implantable pacemakers: in-office setup significantly improves successful data transmission
| Autor: | Ren, Xiushui, Apostolakos, Christina, Vo, Thuy Hong, Shaw, Richard E., Shields, Korey, Banki, Nader M., Zuckermann, Douglas W., Flint, Alexander C., Hongo, Richard H., Goldschlager, Nora F. |
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| Rok vydání: | 2013 |
| Předmět: |
Male
Pacemaker Artificial Office Visits education Clinical Investigations Arrhythmias Cardiorespiratory Medicine and Haematology California Computer-Assisted Predictive Value of Tests otorhinolaryngologic diseases Odds Ratio 80 and over Humans Telemetry Retrospective Studies Aged Aged 80 and over Chi-Square Distribution Cardiac Pacing Artificial Arrhythmias Cardiac Signal Processing Computer-Assisted Middle Aged equipment and supplies Telemedicine Pacemaker Treatment Outcome Logistic Models Cardiovascular System & Hematology Artificial Signal Processing Cardiac Pacing Female Cardiac Wireless Technology |
| Zdroj: | Clinical cardiology, vol 36, iss 10 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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