Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Nov 15;13(11):5230-5235.
doi: 10.19102/icrm.2022.13112. eCollection 2022 Nov.

Real-world Characterization and Use of Insertable Cardiac Monitor Remote Programming

Deepa Mahajan  1 , Kate Frost  1 , Keith Herrmann  1 , Regina McGee-Taylor  2
Affiliations

Real-world Characterization and Use of Insertable Cardiac Monitor Remote Programming

Deepa Mahajan et al. J Innov Card Rhythm Manag. .

Abstract

Remote device programming may enable workflow efficiencies and reduce resource strains on clinics as well as patients. Although the remote patient management ecosystem has evolved, several challenges remain, and the role of remote device programming for an insertable cardiac monitor (ICM) has yet to be described in a real-world setting. The purpose of this study was to characterize the initial real-world use of remote programming of an ICM. The cohort included 8,238 patients with the LUX-Dx™ ICM (Boston Scientific, Marlborough, MA, USA) during the first year of commercial use, which is also the first year that remote programming was available for an ICM. A descriptive review of reprogramming events revealed that 24% of devices were reprogrammed and that 82% of all reprogramming events occurred remotely. Over 74% of first reprogramming events occurred within the first 30 days following device insertion, and nearly 80% of devices only had 1 reprogramming event. These early data support the hypothesis that remote programming of an ICM is a clinically useful tool that may improve the clinical experience of device programming optimization, especially within the first month following device insertion.

Keywords: Cryptogenic stroke; insertable cardiac monitor; remote monitoring; remote programming; syncope.

PubMed Disclaimer

Conflict of interest statement

Drs. Mahajan, Frost, and Herrmann are employees of Boston Scientific. Ms. McGee-Taylor collects consulting fees from Boston Scientific and Abbott. No funding information was provided for this study. Study analyses were supported by Boston Scientific.

Figures

Figure 1:
Figure 1:
Time (days) from initial device programming at device insertion to the first reprogramming event for remote (blue) versus in-clinic (orange) programming.
Figure 2:
Figure 2:
The distribution pattern of reason for monitoring for patients with devices that were reprogrammed (orange) is similar to the pattern that is seen across all patients (blue). Abbreviations: AF, atrial fibrillation; VT, ventricular tachycardia. “Other” includes seizures.
Figure 3:
Figure 3:
The frequency of reprogramming events per patient. Most patients experienced 1 device reprogramming event and only 7 individuals experienced >4 device reprogramming events.
See this image and copyright information in PMC

References

    1. Varma N, Marrouche NF, Aguinaga L, et al. HRS/EHRA/APHRS/LAHRS/ACC/AHA worldwide practice update for telehealth and arrhythmia monitoring during and after a pandemic. Heart Rhythm. 2020;17(9):e255–e268. [CrossRef] [PubMed] - DOI - PMC - PubMed
    1. Nouri SS, Khoong EC, Lyles CR, Karliner LS. Addressing equity in telemedicine for chronic disease management during the Covid-19 pandemic. NEJM Catal. 2020:1–13.
    1. Abraham WT, Fiuzat M, Psotka MA, O’Connor CM. Heart failure collaboratory statement on remote monitoring and social distancing in the landscape of COVID-19. JACC Heart Fail. 2020;8(8):692–694. [CrossRef] [PubMed] - DOI - PMC - PubMed
    1. Okabe T, Afzal MR, Hummel JD, et al. First clinical use of real-time remote programming in cardiac implantable electronic devices. J Cardiovasc Electrophysiol. 2020;31(10):2759–2761. [CrossRef] [PubMed] - DOI - PubMed
    1. Alexander B, Baranchuk A. Remote device reprogramming: has its time come? Circ Arrhythm Electrophysiol. 2020;13(10):e008949. [CrossRef] [PubMed] - DOI - PubMed

LinkOut - more resources