Therapeutic Research

Abstract

In recent years, cardiac implantation devices having a remote monitoring system are increasing. From January to September 2017, clinical usefulness of alerts was examined for 25 heart failure alerts and 33 arrhythmia alerts by remote monitoring. Inquiries on telephone inquiries, visits and hospitalization were evaluated for cases in which alerts occurred. The patient background was an average age 67±12 years old, 44 men（76％） male. Heart failure alerts were 12％ weight gain, 56％ reduction in pacing rate, 32％ reduction in thoracic impedance, 32％ interview, 32％ visit and 24％ treatment. Arrhythmia alert was VT 36％ , VF 15％ , AF 49％ , interview 88％ , visit 58％ , hospitalization 42％ . Regarding alert handling of RMS, it is necessary to decide policy and procedure for each facility, and it is highly expertise to interpret and judge exactly transmitted data and comprehensive information obtained from inquiries by phone etc. It is thought that it is desirable to evaluate the necessity of visits etc.