Evidence map›Paper›PMID 34667961›Full record

ArticleHeart rhythm O22021

Performance of first pacemaker to use smart device app for remote monitoring.

Khaldoun G Tarakji, Amir M Zaidi, Steven L Zweibel, Niraj Varma, Samuel F Sears, James Allred, Paul R Roberts, Naushad A Shaik, Josh R Silverstein, Abdul Maher and 14 more

Open access · goldAbstract read
In one paragraph

Article in Heart rhythm O2, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.6field-weighted citation impact, top 4% of its field
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

21 citing papers in PubMed, 38 citations in OpenAlex.

  1. Trial
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  10. Connected to the cloud at time of death: a case report.Journal of medical case reports · 2024
    Article
  11. Observational
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  14. 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
  15. Article
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  17. 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
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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

24 authors at 19 institutions in 4 countries.

Khaldoun G TarakjiDepartment of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.
Amir M ZaidiCentral Manchester University Hospitals, NHS Foundation Trust, Manchester, United Kingdom.
Steven L ZweibelHartford Healthcare and Vascular Institute, Hartford, Connecticut.
Niraj VarmaDepartment of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.
Samuel F SearsEast Carolina University, Greenville, North Carolina.
James AllredCone Health, Greensboro, North Carolina.
Paul R RobertsUniversity Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom.
Naushad A ShaikCardiovascular Associates, Orlando, Florida.
Josh R SilversteinMount Carmel Columbus Cardiology Consultants, New Albany, Ohio.
Abdul MaherDepartment of Cardiovascular Medicine, University of Birmingham, Birmingham, United Kingdom.
Suneet MittalThe Valley Hospital, Ridgewood, New Jersey.
Ashish PatwalaRoyal Stoke University Hospital of North Midlands, Stoke-on-Trent, United Kingdom.
John SchoenhardCentraCare Heart and Vascular, St. Cloud, Minnesota.
Martin EmertUniversity of Kansas Medical Center, Kansas City, Kansas.
Giulio MolonOspedale Sacro Cuore don Calabria, Negrar, Italy.
Giuseppe AugelloClinic Insitute Cittá Studi, Milan, Italy.
Nilam PatelTennova Heart, Knoxville, Tennessee.
Hanscy SeideDaytona Heart Group, Daytona, Florida.
Antonio PorfilioOspedale San Pietro Di Roma, Rome, Italy.
Baerbel MausBakken Research Center, Medtronic plc, Maastricht, The Netherlands.
Sherry L Di JorioMedtronic, plc, Mounds View, Minnesota.
Keith HollomanMedtronic, plc, Mounds View, Minnesota.
Ana C NateraMedtronic, plc, Mounds View, Minnesota.
Mintu P TurakhiaCenter for Digital Health, Stanford University, Stanford, California.
Medtronic (United States) · USCleveland Clinic · USCentraCare Health System · USCone Health · USEast Carolina University · USHartford Hospital · USIstituto di Sessuologia Clinica · ITLebanon Valley College · USManchester University NHS Foundation Trust · GBMedtronic (Netherlands) · NLMount Carmel Health · USOrlando Health · USOspedale Sacro Cuore Don Calabria · ITOspedale San Pietro Fatebenefratelli · ITRoyal Stoke University Hospital · GBUniversity Hospital Southampton NHS Foundation Trust · GBUniversity of Birmingham · GBUniversity of Kansas Medical Center · USVA Palo Alto Health Care System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh adherence to remote monitoring (RM) in pacemaker (PM) patients improves outcomes; however, adherence remains suboptimal. Bluetooth low-energy (BLE) technology in newer-generation PMs enables communication directly with patient-owned smart devices using an app without a bedside console.

objectiveTo evaluate the success rate of scheduled RM transmissions using the app compared to other RM methods.

methodsThe BlueSync Field Evaluation was a prospective, international cohort evaluation, measuring the success rate of scheduled RM transmissions using a BLE PM or cardiac resynchronization therapy PM coupled with the MyCareLink Heart app. App transmission success was compared to 3 historical "control" groups from the Medtronic de-identified CareLink database: (1) PM patients with manual communication using a wand with a bedside console (PM manual transmission), (2) PM patients with wireless automatic communication with the bedside console (PM wireless); (3) defibrillator patients with similar automatic communication (defibrillator wireless).

resultsAmong 245 patients enrolled (age 64.8±15.6 years, 58.4% men), 953 transmissions were scheduled through 12 months, of which 902 (94.6%) were successfully completed. In comparison, transmission success rates were 56.3% for PM manual transmission patients, 77.0% for PM wireless patients, and 87.1% for defibrillator wireless patients. Transmission success with the app was superior across matched cohorts based on age, sex, and device type (single vs dual vs triple chamber).

conclusionThe success rate of scheduled RM transmissions was higher among patients using the smart device app compared to patients using traditional RM using bedside consoles. This novel technology may improve patient engagement and adherence to RM.

Indexed as

Digital healthPacemakerRemote monitoringSmart devicesTelemedicine

Identifiers

PMID34667961
PMCPMC8505204
OpenAlexW3193278860

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.