Evidence map›Paper›PMID 39973621›Full record

ArticleCirculation. Arrhythmia and electrophysiology2025

Sane Approach to Optimizing the Workload in Remote Monitoring of Cardiovascular Implantable Electronic Devices.

Markus Sane, Toni Jäntti, Annukka Marjamaa, Elina Pennanen, Charlotte Aura, Eeva Torvinen, Leena Karjalainen, Pekka Raatikainen, Jarkko Karvonen

Abstract read
In one paragraph

Article in Circulation. Arrhythmia and electrophysiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Efficiency of Exclusive Remote Monitoring in Pacemaker Follow-Up.Pacing and clinical electrophysiology : PACE · 2026
    Article
  2. 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

9 authors.

Markus SaneHelsinki University Hospital Heart and Lung Center, Finland (M.S., T.J., A.M., E.P., C.A., E.T., L.K., P.R., J.K.).ORCID 0000-0003-1366-9902
Toni JänttiHelsinki University Hospital Heart and Lung Center, Finland (M.S., T.J., A.M., E.P., C.A., E.T., L.K., P.R., J.K.).ORCID 0000-0001-8348-0844
Annukka MarjamaaHelsinki University Hospital Heart and Lung Center, Finland (M.S., T.J., A.M., E.P., C.A., E.T., L.K., P.R., J.K.).
Elina PennanenHelsinki University Hospital Heart and Lung Center, Finland (M.S., T.J., A.M., E.P., C.A., E.T., L.K., P.R., J.K.).
Charlotte AuraHelsinki University Hospital Heart and Lung Center, Finland (M.S., T.J., A.M., E.P., C.A., E.T., L.K., P.R., J.K.).
Eeva TorvinenHelsinki University Hospital Heart and Lung Center, Finland (M.S., T.J., A.M., E.P., C.A., E.T., L.K., P.R., J.K.).
Leena KarjalainenHelsinki University Hospital Heart and Lung Center, Finland (M.S., T.J., A.M., E.P., C.A., E.T., L.K., P.R., J.K.).
Pekka RaatikainenHelsinki University Hospital Heart and Lung Center, Finland (M.S., T.J., A.M., E.P., C.A., E.T., L.K., P.R., J.K.).ORCID 0000-0002-3502-8789
Jarkko KarvonenHelsinki University Hospital Heart and Lung Center, Finland (M.S., T.J., A.M., E.P., C.A., E.T., L.K., P.R., J.K.).ORCID 0000-0002-0686-2782

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRemote monitoring offers an effective and safe method for monitoring patients with cardiovascular implantable electronic devices. The downside of remote monitoring is the overflow of the data. Since many of the remote monitoring transmissions are nonactionable, optimizing alert transmissions could partly overcome this problem.

methodsWe collected data on the number and the causes of all alert-, scheduled-, and patient-initiated transmissions as well as actions initiated by these transmissions in 2023. According to our strategy, all clinically nonrelevant alerts were turned off. The trend of alert transmissions and the proportion of actionable scheduled transmissions are presented. The patient safety was monitored by analyzing the premortem alerts and changes to alert settings in deceased patients, as well as the rate of actionable scheduled or patient-initiated transmissions during follow-up.

resultsDuring the study period 8182 transmissions were generated from 3732 cardiovascular implantable electronic devices. Of these, 2306 (28%) were alert transmissions, of which 57% (n=1290) were considered clinically nonrelevant. The rate of alerts decreased by 44% from January to December (0.07 versus 0.04 per device per month,

conclusionsOur data indicated that active evaluation of the clinical relevance of all alert transmissions and deactivation of clinically nonrelevant alerts reduce the remote monitoring workload. However, long-term follow-up is needed to ensure that patient safety is not compromised.

Indexed as

Defibrillators, ImplantablePacemaker, ArtificialRemote Sensing TechnologyWorkloadAgedFemaleHumansMaleMiddle AgedPatient SafetyRetrospective StudiesTime Factorsclinical relevancehearthumanspatient safetyworkload

Identifiers

PMID39973621
PMCPMC11917532

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Registered trials

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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.