2023 <scp>HRS</scp>/<scp>EHRA</scp>/<scp>APHRS</scp>/<scp>LAHRS</scp> Expert Consensus Statement on Practical Management of the Remote Device Clinic
Aileen M. Ferrick, Satish R. Raj, Thomas Deneke, Pipin Kojodjojo, Néstor López-Cabanillas, Haruhiko Abe, Serge Bovéda, Derek S. Chew, Jong‐Il Choi, Nikolaos Dagres, Aarti Dalal, Brynn E. Dechert, Camille Frazier‐Mills, Olivia Gilbert, Janet K. Han, Sherri Hewit, Christine Kneeland, Starr DeEllen Mirza, Suneet Mittal, Renato Pietro Ricci, Mary Runté, Susan Sinclair, Ricardo Alkmim Teixeira, Bert Vandenberk, Niraj Varma, Document Reviewers, Elizabeth Davenport, Vicki Freedenberg, Taya V. Glotzer, Jin‐Long Huang, Takanori Ikeda, Daniel B. Kramer, David Lin, Ulises Rojel‐Martínez, Markus Stühlinger, Paul D. Varosy
Abstract
Remote monitoring is beneficial for the management of patients with cardiovascular implantable electronic devices by impacting morbidity and mortality. With increasing numbers of patients using remote monitoring, keeping up with higher volume of remote monitoring transmissions creates challenges for device clinic staff. This international multidisciplinary document is intended to guide cardiac electrophysiologists, allied professionals, and hospital administrators in managing remote monitoring clinics. This includes guidance for remote monitoring clinic staffing, appropriate clinic workflows, patient education, and alert management. This expert consensus statement also addresses other topics such as communication of transmission results, use of third-party resources, manufacturer responsibilities, and programming concerns. The goal is to provide evidence-based recommendations impacting all aspects of remote monitoring services. Gaps in current knowledge and guidance for future research directions are also identified.