Navigation Links
Remote ICD monitoring a 'safe alternative' to conventional follow up
Date:8/29/2011

Device management using a home monitoring system with daily telemetry in patients with ICDs (implantable cardioverter defibrilators) is a safe alternative to conventional monitoring and could decrease the number of inappropriate shocks, according to results of the ECOST study, a multicentre randomised trial performed in France.

The implantation of cardioverter defibrillators has now become standard practice for the prevention of sudden cardiac death in patients with heart rhythm disturbances; around 600 ICDs per million population are implanted yearly in the USA and 189 per million in Europe. The ECOST study was designed to investigate whether long-term daily remote monitoring using the Home Monitoring system is a safe option in comparison to in-clinic follow-up in ICD recipients.

"The information and communication technologies of e-health will radically change our healthcare systems over the next decade," said investigator Professor Salem Kacet from the Regional University Hospital of Lille, France. "This large multicentre trial aimed to demonstrate if a telemedicine system was as safe and efficient as conventional in-hospital monitoring and follow-up."

Long-distance implant telemetry allows the trend and event-triggered transmission of implant data and intra-cardiac ECG over distances of several metres, which are received by a patient device and subsequently transferred via a service centre to the physician on a password-secured internet site. Thus, the physician receives diagnostic information without the patient having to visit the physician.

The ECOST study followed-up a total of 433 patients for 27 months in 43 centres in France; patients were randomised to remote monitoring (active group) or in-clinic follow-up (control group). A first in-clinic ICD follow-up within 1-3 months after implantation was scheduled for all patients. Thereafter, patients in the active group were seen in the ambulatory department only once a year, unless an anomalous ICD function or event of clinical concern was reported by the remote monitoring system and required an additional in-clinic visit. In the control group patients were followed-up in the ambulatory department at six-month intervals.

Results showed according to the non-inferiority criteria of the trial that remote ICD monitoring is a safe alternative to conventional follow-up in terms of all cardiac and device-related major adverse events and all cause mortality. "These results are consistent with, and extend, previous findings by demonstrating the safety of long-term remote ICD monitoring," said Professor Kacet.

The ECOST trial was also the first to show a 52% reduction in the number of patients with inappropriate shocks and a 72% reduction in the risk of hospitalisations related to inappropriate shocks. In addition, results showed a 76% reduction in the risk of charged shocks, with a significant impact on ICD battery longevity. "This could have an interesting economic impact," said Professor Kacet, "by allowing ICD replacement at a later time." The effects of remote monitoring on the cost of health for ICD recipients will be evaluated in a forthcoming analysis.


'/>"/>

Contact: Jacqueline Partarrieu
press@escardio.org
33-633-473-335
European Society of Cardiology
Source:Eurekalert

Related medicine news :

1. Army Awards Remote Medical Coding Contract to DOMA Technologies
2. With magnetic nanoparticles, scientists remotely control neurons and animal behavior
3. Telementoring may address need for surgical subspecialty expertise in remote locations
4. Potential benefits of remote follow-up of ICD patients
5. Almac Launches New STEMS System to Transform Temperature Controlled Shipment Monitoring in Clinical Trials
6. ANT+ and iTMP Announce the Digifit™ Ecosystem - The First iPhone™ Apps to Integrate Running, Cycling and Heart Rate Monitoring
7. The Results Are In: Users of BodyMedia's Wearable Body-Monitoring Technology Lose 3 Times More Weight
8. Improved patient care with telemonitoring
9. IESO, one of the Independent System Operators in North America, Selects MetricStream GRC for Monitoring Compliance to Electric Reliability Standards
10. Six Degrees Launches ePulse - an Online Buzz Monitoring Tool
11. Revenues from Mobile Health Monitoring to Reach $1.9 Billion Globally by 2014 Says Juniper Research
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/11/2016)... ... February 11, 2016 , ... In a new ... plastic surgeon , Dr. Rod J. Rohrich, and colleagues, examine and underscore the ... recommendations for rhinoplasty surgeons when addressing this vital area. , The upper lateral ...
(Date:2/11/2016)... ... February 11, 2016 , ... "What holds you ... Ray Clarke poses a question as a challenge for his readers to examine ... in the Being" (published by Partridge Singapore), Clarke explores the subject with more ...
(Date:2/11/2016)... ... February 11, 2016 , ... Colorado spine surgeon, Donald Corenman, MD, DC ... surgeons to know in 2016 . The list consists of spine surgeons across the ... , Dr. Corenman understands the importance of clinical excellence; he has been awarded the ...
(Date:2/11/2016)... ... February 11, 2016 , ... Dickinson Insurance & Financial Services continues their commitment ... in support of a local boy named Barrett, who has been fighting ALL leukemia ... and rally support for, all local families dealing with childhood cancer. Information on how ...
(Date:2/11/2016)... ... February 11, 2016 , ... From ... American Academy of Dermatology Annual Meeting at the Walter E. Washington Convention Center ... awareness for both the condition of hyperhidrosis (excessive sweating) and its treatment options. ...
Breaking Medicine News(10 mins):
(Date:2/11/2016)... 11, 2016 Jeffrey Zucker , ... Trials, will present at this year,s Summit for Clinical Operations ... in Miami, FL. Zucker will discuss ... study execution, supporting SCOPE,s "Improving Site Study Activation and Performance" ... Thursday, Feb. 25 at 11:05 a.m. --> ...
(Date:2/11/2016)... , February 11, 2016 F ... answers at the ... a world-leading provider of scientific, technical and medical information products and services, ... to evidence-based, peer reviewed clinical information via a mobile device. Elsevier designed ... ClinicalKey for Nursing. The new app is available in Android ...
(Date:2/11/2016)... Feb. 11, 2016 Exactus Pharmacy Solutions, ... high-quality specialty pharmacy care for those suffering from ... has achieved full Specialty Pharmacy Accreditation from URAC, ... to promoting health care quality through accreditation, education ... --> The URAC accreditation process demonstrates a ...
Breaking Medicine Technology: