Cardiac Electrophysiology Clinics
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#1Gerald A. Serwer (UM: University of Michigan)H-Index: 27
Movement of information from a cardiac implantable electronic device to an electronic health record (EHR) can be a complex and multistep process. It requires unambiguous patient identification, device identification, standardized semantic and syntactic data nomenclature, common secure data transfer methodology, and structured reporting within the EHR. Common workflow using a commonly accepted methodology, such as the implantable device cardiac observation profile or protocol, is mandatory. Once ...
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#1Carly Daley (IUPUI: Indiana University – Purdue University Indianapolis)H-Index: 7
#2Tammy Toscos (IUPUI: Indiana University – Purdue University Indianapolis)H-Index: 12
Last. Michael J. Mirro (IU: Indiana University)H-Index: 13
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This review provides an overview of the literature on the organization, staffing, and structure of remote monitoring (RM) clinics, primarily from countries in Western Europe and United States, as well as the challenges, considerations, and future directions for RM clinic models of care. Using a current case example of an RM clinic in the Midwestern United States, this document provides key information from the viewpoint of a clinic undergoing a shift in workflow. Finally, this review distills ke...
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#1Ranjan K. Thakur (MSU: Michigan State University)H-Index: 19
#2Andrea NataleH-Index: 118
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Guidelines exist for monitoring to diagnose and manage patients with several different conditions. Although there have been recent updates to the guidelines, the constantly evolving and advancing nature of the technologies creates a gap at times between the newest monitors, the indications for their use, and the reimbursement by the payers. The key element to the choice of the modality of monitoring remains matching the correct technology to the type, severity, frequency, and duration of the pat...
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Arrhythmia management has been revolutionized by the ability to monitor the cardiac rhythm in a patient's home environment in real-time using high-fidelity prescription-grade and commercially available wearable electrodes. The vast amount of digitally acquired electrophysiological signals has generated the need for scalable and efficient data processing with actionable output that can be provided directly to clinicians and patients. In this setting, artificial intelligence applications are incre...
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#1H Gruwez (University of Hasselt)
#1Henri GruwezH-Index: 1
Last. Laurent PisonH-Index: 27
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Atrial fibrillation (AF) is associated with adverse outcomes. Screening may lead to earlier recognition and treatment of asymptomatic AF. However, most evidence regarding AF applies to clinical AF, with symptoms or electrocardiographic diagnosis. Whether this evidence can be translated toward subclinical AF, without symptoms and detected by novel, more continuous screening devices is uncertain. The diagnostic yield of screening is determined by the screening population, tool, duration and freque...
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The ability to remotely reprogram a cardiac implantable electronic device (CIED) and the ability to remotely install software or firmware updates would reduce the need for in-office visits and could provide a mechanism to rapidly deploy important software or firmware updates. The challenges of implementing remote reprogramming of cardiac implantable electronic devices are no longer technical. Using asymmetric cryptography, sophisticated end-to-end secure communication protocols and hardware acce...
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#1Bryan Wilner (Cleveland Clinic)H-Index: 3
#2John Rickard (Cleveland Clinic)H-Index: 23
Remote monitoring of permanent pacemakers and implantable cardiac defibrillators has undergone considerable advances over the past several decades. Advancement of technology has created the ability for remote monitoring of implantable cardiac devices; a device can monitor its own function, record arrhythmias, and transmit data to health care providers without frequent in-office checks, shown to be as safe as in-office interrogation. Remote monitoring allows earlier detection of clinically action...
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The implantable loop recorder (ILR) is a subcutaneous, single-lead, electrocardiographic (ECG) monitoring device used for diagnosis in patients with recurrent, unexplained episodes of palpitations or syncope, for long-term monitoring in patients at risk for atrial fibrillation (AF), and to guide clinical management in patients with known AF. These devices are capable of storing and transmitting ECG data automatically in response to a significant bradyarrhythmia or tachyarrhythmia or in response ...
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Top fields of study
Cardiology
Catheter ablation
Ventricular tachycardia
Ablation
Atrial fibrillation
Medical emergency
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