Evidence map›Paper›PMID 30421438›Full record

ArticleClinical cardiology2019

Organizational model and reactions to alerts in remote monitoring of cardiac implantable electronic devices: A survey from the Home Monitoring Expert Alliance project.

Gabriele Zanotto, Antonio D'Onofrio, Paolo Della Bella, Francesco Solimene, Ennio C Pisanò, Saverio Iacopino, Cristina Dondina, Daniele Giacopelli, Alessio Gargaro, Renato P Ricci

Abstract readMulticenter Study
In one paragraph

Article in Clinical cardiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

  1. Clinical indications for conduction system pacing in routine practice: 2025 survey from the Home Monitoring Expert Alliance.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Remote monitoring of cardiac implantable electronic devices and disease management.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. Article
  7. 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
  8. HeartLogic™: real-world data-efficiency, resource consumption, and workflow optimization.European heart journal supplements : journal of the European Society of Cardiology · 2023
    Article
  9. HeartInsight: from SELENE HF to implementation in clinical practice.European heart journal supplements : journal of the European Society of Cardiology · 2023
    Article
  10. Article
  11. Article
  12. Remote Monitoring of CIEDs-For Both Safety, Economy and Convenience?International journal of environmental research and public health · 2021
    Review
  13. Article
  14. Article
  15. Article
  16. 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

10 authors.

Gabriele ZanottoOspedale Mater Salutis, Legnago, Italy.
Antonio D'OnofrioOspedale Monaldi, Naples, Italy.
Paolo Della BellaOspedale San Raffaele, Milan, Italy.
Francesco SolimeneClinica Montevergine, Mercogliano, Italy.
Ennio C PisanòOspedale Vito Fazzi, Lecce, Italy.
Saverio IacopinoVilla Maria Care&Research, Cotignola, Italy.
Cristina DondinaBIOTRONIK Italia, Vimodrone, Italy.
Daniele GiacopelliBIOTRONIK Italia, Vimodrone, Italy.
Alessio GargaroBIOTRONIK Italia, Vimodrone, Italy.
Renato P RicciCardio Arrhythmology Center, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis survey aimed to describe the organizational workflow of cardiac implantable electronic devices (CIEDs) remote monitoring (RM) service in ordinary practice.

methodsA questionnaire was designed for our purpose and completed by 49 sites participating to the Italian Home Monitoring Expert Alliance.

resultsA dedicated organizational model for RM was set up for 86% of centers. The median RM team consisted of 2 (Interquartile range [IQR]: 1-3) physicians and 1 (IQR: 0-2) nurse. RM service was available in working hours and the median percentage of patients included was 100% (IQR: 10%-100%) for implantable cardioverter-defibrillator (ICD) and cardiac resynchronization therapy (CRT) recipients and 5% (IQR:0%-30%) for pacemakers. In-office follow-up was performed every 12 and 6 months for pacemaker and ICD/CRT recipients, respectively. More than 90% of sites used to activate all technical alerts, with a prompt reaction in case of an out-of-range parameter. The threshold for atrial fibrillation (AF) daily burden notification in most cases ranged from 2.4 to 7.2 hours. All ventricular arrhythmias alerts were usually switched on: an inappropriate therapy or more than one appropriate episode triggered an urgent in-hospital visit. Concerning heart failure, low CRT percentage pacing alert was always used, while the other available notifications were less frequently switched on.

conclusionsThis survey showed that RM service was usually set up with a primary nursing model including on average two responsible physicians and one nurse and mainly offered to ICD/CRT patients. Technical, AF and ventricular arrhythmia alerts triggered prompt reactions, while heart failure related indexes were generally less applied.

Indexed as

Cardiac Resynchronization Therapy DevicesModels, OrganizationalSurveys and QuestionnairesArrhythmias, CardiacFemaleFollow-Up StudiesHumansItalyMaleMonitoring, AmbulatoryTelemedicineatrial fibrillationcardiac resynchronization therapyimplantable cardioverter defibrillatorpacemakerremote monitoringtelemonitoring

Identifiers

PMID30421438
PMCPMC6436519

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.