Review
Medicine, General & Internal
Giuseppe Boriani, Jacopo F. Imberti, Niccolo Bonini, Cosimo Carriere, Davide A. Mei, Massimo Zecchin, Francesca Piccinin, Marco Vitolo, Gianfranco Sinagra
Summary: This review focuses on heart failure (HF) and its association with hospitalizations and adverse cardiovascular outcomes. The development of systems to monitor cardiac function aims to detect subclinical changes in order to prevent worsening HF. Patient-specific parameters can be remotely monitored through cardiac implantable electronic devices (CIED) and used to predict patients' risk of worsening HF. The review discusses the best diagnostic pathway for HF patients after a CIED alert and the role of healthcare professionals involved in HF patient management.
EUROPEAN JOURNAL OF INTERNAL MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Cheyenne S. L. Chiu, Ivy Timmermans, Henneke Versteeg, Edgar Zitron, Philippe Mabo, Susanne S. Pedersen, Mathias Meine
Summary: Remote patient monitoring (RPM) can be a viable alternative to conventional In-Clinic check-ups for implantable cardioverter-defibrillator (ICD) patients. This study found that RPM is non-inferior to In-Clinic visits in terms of clinical outcomes. RPM can reduce unnecessary clinic visits without compromising safety and efficiency.
Article
Cardiac & Cardiovascular Systems
Ewa Jedrzejczyk-Patej, Michal Mazurek, Agnieszka Kotalczyk, Wiktoria Kowalska, Aleksandra Konieczny-Kozielska, Jonasz Kozielski, Tomasz Podolecki, Mariola Szulik, Adam Sokal, Oskar Kowalski, Zbigniew Kalarus, Beata Sredniawa, Radoslaw Lenarczyk
Summary: The study compared long-term mortality and predictors in patients with de novo cardiac resynchronization therapy defibrillators (CRT-D) versus those who upgraded from an implantable cardioverter-defibrillator (ICD) to CRT-D. It found that mortality was significantly higher in patients who upgraded from ICD to CRT-D compared to those who had de novo CRT-D implantations, with nearly 45% mortality within 4.5 years. A new CRT scale (Creatinine; Remodelling; Threshold for NYHA) was proposed to aid in predicting survival following CRT upgrade.
Article
Chemistry, Analytical
Dominic A. M. J. Theuns, Sumant P. Radhoe, Jasper J. Brugts
Summary: Management of heart failure remains challenging despite advances in medical and pharmacological treatments. Strategies to reduce hospitalizations and readmission rates are urgently needed. Remote monitoring of high-risk patients, including those with cardiac implantable electronic devices, has shown promise in clinical practice for early identification of worsening heart failure.
Article
Radiology, Nuclear Medicine & Medical Imaging
Amita Singh, Wensu Chen, Hena N. Patel, Nazia Alvi, Keigo Kawaji, Stephanie A. Besser, Roderick Tung, Jiangang Zou, Roberto M. Lang, Victor Mor-Avi, Amit R. Patel
Summary: This study assessed the effects of wideband LGE imaging on device-related artifacts in different non-MR conditional ICD subtypes. The results showed that WB LGE imaging significantly reduced DRA burden in patients with TV-ICD, but had less impact on CRT-D and S-ICD patients. Despite greater residual artifacts in S-ICD patients with WB LGE imaging, the area of artifacts was smaller and had different characteristics compared to standard LGE imaging. Further developments are needed to better resolve S-ICD artifacts.
JOURNAL OF MAGNETIC RESONANCE IMAGING
(2021)
Review
Cardiac & Cardiovascular Systems
Jayson R. Baman, Kaustubha D. Patil, Ankit N. Medhekar, Jane E. Wilcox
Summary: HFrecEF is recognized as a distinct clinical entity with increasing prevalence, and continued guideline-directed medical therapy is crucial to promote myocardial recovery. Despite the lower risk of sudden cardiac death in HFrecEF compared to HFrEF, the benefits of continued ICD therapy need to be weighed against potential risks and limitations.
JOURNAL OF CARDIAC FAILURE
(2021)
Article
Cardiac & Cardiovascular Systems
Derek S. Chew, Mahmood Zarrabi, Isabelle You, James Morton, Aaron Low, Lucy Reyes, Brian Yuen, Glen L. Sumner, Satish R. Raj, Derek Exner, Stephen B. Wilton
Summary: This study demonstrates that remote monitoring (RM) of cardiac implantable electronic devices is associated with lower risk of death and cardiovascular hospitalization, and can lead to cost savings. Therefore, the wider implementation of this technology can improve patient outcomes and enhance health system efficiency.
CANADIAN JOURNAL OF CARDIOLOGY
(2022)
Article
Health Care Sciences & Services
Gimon de Graaf, Ivy Timmermans, Mathias Meine, Marco Alings, Susanne S. Pedersen, Philippe Mabo, Edgar Zitron, Ken Redekop, Henneke Versteeg
Summary: Remote patient monitoring of heart failure patients with an implantable cardioverter defibrillator can reduce medical resource use and travel time. In the Netherlands and Germany, remote monitoring led to lower direct medical costs, with varying effectiveness for patients.
JOURNAL OF TELEMEDICINE AND TELECARE
(2022)
Review
Cardiac & Cardiovascular Systems
Jukka Lehtonen, Valtteri Uusitalo, Pauli Poyhonen, Mikko Mayranpaa, Markku Kupari
Summary: Cardiac sarcoidosis (CS) is characterized by granulomas infiltrating the myocardium, leading to conduction disturbances, ventricular tachyarrhythmias, and heart failure. However, imaging studies have shown that cardiac involvement occurs much more frequently than clinically detectable cases. Definitive diagnosis of CS requires myocardial biopsy and histopathology, but a combination of extracardiac histology, clinical manifestations, and cardiac imaging findings can provide a high likelihood of diagnosis.
EUROPEAN HEART JOURNAL
(2023)
Review
Cardiac & Cardiovascular Systems
Giuseppe Boriani, Haran Burri, Emma Svennberg, Jacopo Francesco Imberti, Jose Luis Merino, Christophe Leclercq
Summary: Remote monitoring is recommended as a standard care for the follow-up of CIEDs, as it can detect issues and changes in cardio-respiratory functions. However, the heterogeneity in reimbursement policies across Europe is a significant barrier to widespread implementation.
Article
Psychiatry
Anne-Lotte C. J. van der Lingen, Mischa T. Rijnierse, Astrid M. Hooghiemstra, Saskia Elshout, Vokko P. van Halm, Neeltje M. Batelaan, Albert C. van Rossum, Susanne S. Pedersen, Anna E. Leeuwis, Cornelis P. Allaart
Summary: This study examines the correlation between cardiac status and depression and anxiety in patients with an implantable cardioverter-defibrillator (ICD). The results indicate that a considerable number of patients with ICD experience symptoms of depression and anxiety at the time of ICD implantation. The severity of depression and anxiety is associated with cardiac status, suggesting a potential biological link between psychological distress and cardiac disease in these patients.
JOURNAL OF PSYCHOSOMATIC RESEARCH
(2023)
Article
Cardiac & Cardiovascular Systems
Henrike A. K. Hillmann, Claudius Hansen, Oliver Przibille, David Duncker
Summary: This study aims to analyze the patient perspectives on the remote monitoring of cardiac devices in Germany. The survey found that most patients felt well informed and remote monitoring helped them cope with their disease. Some patients experienced technical problems with remote monitoring, and younger patients are more interested in using smartphones for data transfer.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Maarten Z. H. Kolk, Sanjiv M. Narayan, Paul Clopton, Arthur A. M. Wilde, Reinoud E. Knops, Fleur V. Y. Tjong
Summary: Remote monitoring for ICDs can detect disease progression and device dysfunction early. This study found that in a real-world population, remote monitoring was associated with a reduction in all-cause and cardiac mortality compared to traditional office visits.
Article
Health Care Sciences & Services
Guillaume Thery, Laurent Faroux, Fanny Boyer, Pierre Nazeyrollas, Jean-Pierre Chabert, Damien Metz, Francois Lesaffre
Summary: This study investigated whether patients who receive a first device-delivered electric shock have a poor prognosis even at the time of ICD implantation. The results showed that the exercise test performed at the time of ICD implantation does not predict the occurrence of device-delivered electric shock. These two factors are independent markers of poor prognosis.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Jeroen Dauw, Pieter Martens, Petra Nijst, Evelyne Meekers, Sebastien Deferm, Henri Gruwez, Maximo Rivero-Ayerza, Hugo Van Herendael, Laurent Pison, Dieter Nuyens, Matthias Dupont, Wilfried Mullens
Summary: The aim of this study was to evaluate the predictive ability of the MADIT-ICD benefit score in identifying heart failure patients who would benefit most from CRT-D and compare it with a multidisciplinary expert centre approach. The results showed that the MADIT-ICD benefit score can identify patients who would benefit most from CRT-D and its predictive power is comparable to multidisciplinary judgement.