Evidence map›Paper›PMID 40201678›Full record

ArticleHeart rhythm O22025

Current clinical practice versus remote monitoring recommendations for cardiovascular implantable electronic devices: A real-world analysis from a remote monitoring database.

Matteo Bertini, Antonio D'Onofrio, Marcello Piacenti, Carlo Lavalle, Carmelo La Greca, Claudia Amellone, Paolo Compagnucci, Leonardo Calò, Antonio Rapacciuolo, Vincenzo Ezio Santobuono and 11 more

Abstract read
In one paragraph

Article in Heart rhythm O2, 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. Review
  2. Review
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

21 authors.

Matteo BertiniCardiology Unit, Sant'Anna University Hospital, University of Ferrara, Ferrara, Italy.
Antonio D'OnofrioUnità Operativa di Elettrofisiologia, Studio e Terapia delle Aritmie, Monaldi Hospital, Naples, Italy.
Marcello PiacentiFondazione Toscana Gabriele Monasterio, Pisa, Italy.
Carlo LavalleDepartment of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Rome, Italy.
Carmelo La GrecaFondazione Poliambulanza, Brescia, Italy.
Claudia Amellone"Maria Vittoria" Hospital, Turin, Italy.
Paolo CompagnucciClinica di Cardiologia e Aritmologia, Università Politecnica delle Marche, "Ospedali Riuniti," Ancona, Italy.
Leonardo CalòPoliclinico Casilino, Rome, Italy.
Antonio RapacciuoloPoliclinico Federico II, Naples, Italy.
Vincenzo Ezio SantobuonoUniversity of Bari, Policlinico di Bari, Bari, Italy.
Patrizia PepiCarlo Poma Hospital, Mantova, Italy.
Gianluca SavareseS. Giovanni Battista Hospital, Foligno, Italy.
Erika TaravelliSanta Croce e Carle Hospital, Cuneo, Italy.
Vincenzo RussoCardiology Unit, Department of Medical Translational Sciences, University of Campania "Luigi Vanvitelli"-Monaldi Hospital, Naples, Italy.
Gennaro VitulanoOO.RR. San Giovanni di Dio Ruggi d'Aragona, Salerno, Italy.
Francesco VillellaOspedale Maggiore Di Lodi, Lodi, Italy.
Francesco VitaliCardiology Unit, Sant'Anna University Hospital, University of Ferrara, Ferrara, Italy.
Nicola PierucciDepartment of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Rome, Italy.
Monica CampariBoston Scientific Italia, Milan, Italy.
Sergio ValsecchiBoston Scientific Italia, Milan, Italy.
Luca Santini"Giovan Battista Grassi" Hospital, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The recently published Consensus Statement on the Practical Management of Remote Device Clinics offers recommendations for managing patients with cardiovascular implantable electronic devices (CIEDs). They recommend activating remote monitoring (RM) soon after implantation and maintaining connectivity. Moreover, it is reasonable to replace scheduled device follow-up with alert-based RM, with alert parameters customized to clinical indications to reduce RM workload. Objective: The purpose of this study was to evaluate current clinical practice to inform adjustments to better follow recommendations and improve use of RM. Methods: Data from 6553 CIED patients followed on the LATITUDE (Boston Scientific) remote network at 26 centers between 2010 and 2023 were analyzed. Median RM duration was 40 months. Results: Patient enrollment significantly increased over the observation period. The proportion of patients enrolled within 2 weeks of implantation was 73% and within 3 months was 94%. At the time of data extraction, 14% of patients had interrupted connectivity. Scheduled device transmissions were programmed at least once every 3 months in 96% of patients for all CIED types. In 2023, 6600 in-office interrogations were performed, and 70,453 remote transmissions were reviewed. Scheduled transmissions accounted for 52% of the total, patient-initiated interrogations for 28% and alert transmissions for 20%. Conclusion: The use of RM in clinical practice is increasing, with more in-office and remote visits. Centers are not adopting the alert-based RM strategy, which would enable them to reduce the significant burden of nonactionable remote and in-office visits.

Indexed as

Implantable defibrillatorPacemakerProgrammingRemote monitoringSubcutaneous implantable cardioverter-defibrillator

Identifiers

PMID40201678
PMCPMC11973669

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LicenceCC BY-NC-ND
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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.