[Device-based remote monitoring : Current evidence].

Area of Science:

• Cardiology
• Digital Health
• Medical Technology

Background:

• Telemedicine is increasingly adopted in clinical cardiology.
• Remote monitoring offers benefits for arrhythmia detection, device follow-up, and heart failure management.

Purpose of the Study:

• To provide a comprehensive overview of remote monitoring's role in cardiology.
• To highlight its impact on technical device follow-up, arrhythmia detection, and heart failure management.

Main Methods:

• Review of existing literature on telemedicine in cardiology.
• Analysis of studies on remote monitoring for device follow-up, arrhythmia detection, and heart failure management.

Main Results:

• Remote monitoring reduces healthcare system utilization and time to physician perception of device malfunction.
• Inappropriate implantable cardioverter defibrillator shocks are significantly reduced with remote monitoring.
• Prognostic benefits regarding mortality have been shown in retrospective studies and meta-analyses.
• Device-based detection of atrial fibrillation and atrial high rate episodes is feasible, with ongoing clinical trials.
• Therapeutic management of heart failure based on pulmonary artery pressure significantly reduces morbidity and mortality.

Conclusions:

• Remote monitoring is a valuable tool in clinical cardiology for device management and arrhythmia detection.
• Its application in heart failure management, particularly using pulmonary artery pressure, shows significant clinical benefits.
• Further prospective studies are needed to fully establish the clinical relevance of device-based arrhythmia detection.