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Clinical experience with remote programming of cardiac implantable electronic devices
Karthik Venkatesh Prasad1, Marko Tietz2, Bobak Salehi2
1North Mississippi Health Services Inc, Tupelo, MS, United States.
Frontiers in Digital Health
|February 20, 2026
Summary
LiveSupport enhances remote monitoring for cardiac implantable devices, improving efficiency and patient satisfaction. This innovative solution offers significant time savings for patients and caregivers.
Area of Science:
- Cardiology
- Biomedical Engineering
Background:
- Remote monitoring is the standard for cardiac implantable electronic device (CIED) follow-up.
- Extensions of remote monitoring aim to increase efficiency for patients, caregivers, and industry representatives.
- LiveSupport is an innovative programmer and software solution for remote CIED programming.
Purpose of the Study:
- To determine the utilization and efficacy of LiveSupport as an extension of remote monitoring.
- To assess patient, caregiver, and industry representative satisfaction with LiveSupport.
- To evaluate LiveSupport's impact on efficiency in CIED management.
Main Methods:
- Analysis of a USA dataset of LiveSupport utilization from April 2022 to April 2025.
- Satisfaction assessment via surveys of 159 patients, remote caregivers, and industry representatives.
- Evaluation of LiveSupport session data, including number of sessions, programmers, and users.
Main Results:
- Over 38,943 LiveSupport sessions were successfully completed.
- LiveSupport utilization increased over time, reaching a peak of 2,295 sessions per month.
- High satisfaction levels were reported by patients, remote caregivers, and industry representatives, with over 60 minutes saved per patient in 78% of sessions.
Conclusions:
- LiveSupport is a safe and effective extension of remote monitoring for CIEDs.
- LiveSupport offers significant advantages for patients, remote caregivers, and industry representatives.
- This solution represents a key advancement towards true remote monitoring of CIEDs.

