Evidence map›Paper›PMID 26467152›Full record

Trial reportJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2016

A prospective comparison of remote monitoring systems in implantable cardiac defibrillators: potential effects of frequency of transmissions.

Ermenegildo de Ruvo, Luigi Sciarra, Anna Maria Martino, Marco Rebecchi, Renzo Venanzio Iulianella, Francesco Sebastiani, Alessandro Fagagnini, Alessio Borrelli, Antonio Scarà, Domenico Grieco and 3 more

Abstract readClinical TrialComparative Study
PubMed Publisher
In one paragraph

Trial report in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. 2023 HRS/EHRA/APHRS/LAHRS Expert Consensus Statement on Practical Management of the Remote Device Clinic.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    Article
  6. Heart failure and telemedicine: where are we and where are we going? Opportunities and critical issues.European heart journal supplements : journal of the European Society of Cardiology · 2023
    Article
  7. Article
  8. Trends beyond the new normal: from remote monitoring to digital connectivity.European heart journal supplements : journal of the European Society of Cardiology · 2020
    Article
  9. Article
  10. Article
  11. Remote monitoring of implantable cardioverter-defibrillators and resynchronization devices to improve patient outcomes: dead end or way ahead?Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2019
    Review
  12. Review
  13. Article
  14. Review
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Ermenegildo de Ruvo
Luigi Sciarra
Anna Maria Martino
Marco Rebecchi
Renzo Venanzio Iulianella
Francesco Sebastiani
Alessandro Fagagnini
Alessio Borrelli
Antonio Scarà
Domenico Grieco
Claudia Tota
Federica Stirpe
Leonardo Calò

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCurrently, cardiac implantable electronic devices allow remote monitoring (RM) based on periodic (Boston Latitude [LAT], Medtronic Carelink [MCL], St. Jude Merlin [SJM]) or daily transmissions (Biotronik Home Monitoring [BHM]). The aim of this study was to compare all the current RM systems in normal practice and investigate the effect of periodicity of RM transmissions on early detection of clinical and device-related events.

methodsTwo hundred eleven ICD patients (mean age 69±11 years, 158 males), were remotely followed up for 1 year (61 with BHM, 49 with LAT, 65 with MCL, 36 with SJM). Remote follow-ups were configured quarterly, except for the BHM (daily transmissions).

resultsThe event-free rates were 49% with BHM, 57% with LAT, 57% with MCL, and 58 % with SJM (long-rank, p=0.23). BHM generated 304 (interquartile range, 184–342) transmissions per patient in a year, LAT 9 (8–11), MCL 7 (5–10), and SJM 8 (7–14) (p<0.000001). Eighty actionable events occurred at 1 year follow-up, 69 (86%) with RM systems: BHM was associated with a higher cumulative rate of actionable events. At a multivariate analysis, daily transmissions were independently associated with an increased probability of event detection as compared to periodic transmission systems. The chance of event detection is reduced by 20% (p=0.036) for a 1-month increase of the between-transmission interval (27 % for actionable events, p=0.004).

conclusionsAlthough all RM systems effectively detected major events, daily transmission was associated with a higher probability of early event detection.

Indexed as

AgedArrhythmias, CardiacClinical AlarmsDefibrillators, ImplantableElectrocardiography, AmbulatoryEquipment DesignEquipment Failure AnalysisFemaleHumansItalyMalePrevalenceProspective StudiesRemote ConsultationReproducibility of ResultsSensitivity and Specificity

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.