远程家庭监测功能在心脏再同步治疗中的应用

Objective To investigate the value of daily routine application of home monitoring in patients implanted with cardiac resynchronization therapy device. Methods Data transmitted daily and automatically by a remote,wireless Home MonitoringTM system (HM) were analyzed. The average time gained in the detection of events using HM versus standard practice was examined. Results Ten patients with congestive heart failure 8 males, mean age ( 56 ± 15 ) years ] who underwent successful implantation of a CRT system were consecutively enrolled in this study. The mean duration of monitoring was ( 90 ± 63 ) days and 83 abnormal events were reported. The vast majority (97.6%) of events were disease-related. The putative temporal gain between last follow-up and occurrence of events notified by HM was (158 ± 17)and (68 ± 17) days in patients usually followed at 6-and 3-month intervals, respectively. Conclusions This study indicates that Home MonitoringTM system is a newly reliable method which could early detect and manage the abnormal events and evaluate the efficacy of the treatment.

Home monitoring in cardiac resynchronization therapy