Elsevier

Heart Rhythm

Volume 20, Issue 9, September 2023, Pages e92-e144
Heart Rhythm

News From the Heart Rhythm Society
2023 HRS/EHRA/APHRS/LAHRS expert consensus statement on practical management of the remote device clinic

https://doi.org/10.1016/j.hrthm.2023.03.1525Get rights and content
Under a Creative Commons license
open access

Abstract

Remote monitoring is beneficial for the management of patients with cardiovascular implantable electronic devices by impacting morbidity and mortality. With increasing numbers of patients using remote monitoring, keeping up with higher volume of remote monitoring transmissions creates challenges for device clinic staff. This international multidisciplinary document is intended to guide cardiac electrophysiologists, allied professionals, and hospital administrators in managing remote monitoring clinics. This includes guidance for remote monitoring clinic staffing, appropriate clinic workflows, patient education, and alert management. This expert consensus statement also addresses other topics such as communication of transmission results, use of third-party resources, manufacturer responsibilities, and programming concerns. The goal is to provide evidence-based recommendations impacting all aspects of remote monitoring services. Gaps in current knowledge and guidance for future research directions are also identified.

Keywords

Alerts
Cardiovascular implantable electronic device
CIED
Connectivity
Device clinic
Programming
Remote monitoring

Abbreviations

AF
atrial fibrillation
AHP
allied health professional
AI
artificial intelligence
ATP
anti-tachycardia pacing
CIED
cardiovascular implantable electronic device
COR
class of recommendation
CRT
cardiac resynchronization therapy
CRT-D
cardiac resynchronization therapy defibrillator
CRT-P
cardiac resynchronization therapy pacemaker
EHR
electronic health record
HF
heart failure
ICD
implantable cardioverter-defibrillator
IEGM
intracardiac electrogram
ILR
implantable loop recorder
LOE
level of evidence
LV
left ventricular
MRI
magnetic resonance imaging
PM
pacemaker
RM
remote monitoring
RV
right ventricular
RWI
relationships with industry
VF
ventricular fibrillation
VT
ventricular tachycardia

Cited by (0)

Developed in partnership with and endorsed by the European Heart Rhythm Association (EHRA), the Asia Pacific Heart Rhythm Society (APHRS), and the Latin American Heart Rhythm Society (LAHRS), and in collaboration with and endorsed by the American College of Cardiology (ACC), the American Heart Association (AHA), the International Society for Holter and Noninvasive Electrocardiology (ISHNE), and the Pediatric and Congenital Electrophysiology Society (PACES). Endorsed by the EHRA, the APHRS, the LAHRS, the ISHNE, and the PACES.

For copies of this document, please contact the Elsevier Inc. Reprint Department ([email protected]). This article has been co-published with permission in EP Europace, Journal of Arrhythmia, and Heart Rhythm. All rights reserved. The articles are identical except for minor stylistic and spelling differences in keeping with each journal’s style. Any citation can be used when citing this article. Correspondence: Heart Rhythm Society, 1325 G St NW, Suite 500, Washington, DC 20005. E-mail address: [email protected].

∗

Representative of the Heart Rhythm Society (HRS)

†

Representative of the European Heart Rhythm Association (EHRA)

‡

Representative of the Asia Pacific Heart Rhythm Society (APHRS)

§

Representative of the Latin American Heart Rhythm Society (LAHRS)

Representative of the Pediatric and Congenital Electrophysiology Society (PACES)

#

Representative of the American College of Cardiology (ACC)

∗∗

Representative of the American Heart Association (AHA)

††

Patient Partner

‡‡

Representative of the International Society for Holter and Noninvasive Electrocardiology (ISHNE)

© 2023 Heart Rhythm Society, European Society of Cardiology, Asia Pacific Heart Rhythm Society, and the Latin American Heart Rhythm Society published by Elsevier Inc, Oxford University Press and Wiley.