Remote Monitoring of Cardiac Implantable Electronic Devices in Very Elderly Patients: Advantages and Specific Problems

Cardiac implantable electronic devices (CIEDs) offer the benefit of remote monitoring and decision making and find particular applications in special populations such as the elderly. Less transportation, reduced costs, prompt diagnosis, a sense of security, and continuous real-time monitoring are th...

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Bibliographic Details
Published in:Journal of cardiovascular development and disease 2024-07, Vol.11 (7), p.209
Main Authors: Scacciavillani, Roberto, Koliastasis, Leonidas, Doundoulakis, Ioannis, Chiotis, Sotirios, Kordalis, Athanasios, Narducci, Maria Lucia, Kotoulas, Sotiris, Pinnacchio, Gaetano, Bencardino, Gianluigi, Perna, Francesco, Comerci, Gianluca, Gatzoulis, Konstantinos A, Tsiachris, Dimitris, Pelargonio, Gemma
Format: Article
Language:English
Subjects:
arrhythmic monitoring
cardiac implantable electronic devices
CIED
COVID-19
Disease transmission
Heart failure
Heart rate
hemodynamic monitoring
Hemodynamics
Hospitals
Monitoring systems
Mortality
Older people
Pacemakers
Patients
remote monitoring
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Summary:Cardiac implantable electronic devices (CIEDs) offer the benefit of remote monitoring and decision making and find particular applications in special populations such as the elderly. Less transportation, reduced costs, prompt diagnosis, a sense of security, and continuous real-time monitoring are the main advantages. On the other hand, less physician-patient interactions and the technology barrier in the elderly pose specific problems in remote monitoring. CIEDs nowadays are abundant and are mostly represented by rhythm control/monitoring devices, whereas hemodynamic remote monitoring devices are gaining popularity and are evolving and becoming refined. Future directions include the involvement of artificial intelligence, yet disparities of availability, lack of follow-up data, and insufficient patient education are still areas to be improved. This review aims to describe the role of CIED in the very elderly and highlight the merits and possible drawbacks.
ISSN:2308-3425
2308-3425
DOI:10.3390/jcdd11070209