Remote Monitoring of Cardiovascular Implantable Electronic Devices

In the past decades, technologies were developed to allow for remote monitoring (RM) of cardiovascular implantable electronic devices (CIEDs). By design, CIEDs monitor heart rate and rhythm and are attractive tools to evaluate the patient's status. Also, malfunction of any component of the device needs to be recognized early to avoid unfavorable outcomes. Therefore, CIED manufacturers developed systems to remotely monitor both patients and devices. The data collected is ultimately transmitted to physicians and device specialists who analyze the information gathered and ensure appropriate management. So far, the published literature supports the use of RM as this allows for a more rapid detection of arrhythmias or device malfunction, reduces hospital visits and inappropriate shock, improves patients’ quality of life and even mortality. Conversely, RM does not increase the risk of major cardiovascular adverse events and is therefore safe and efficient. The following text reviews the relevant literature that supports the use of RM in CIED recipients.