Leadless and Wireless Cardiac Devices: The Next Frontier in Remote Patient Monitoring |
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| Authors: | Abdulaziz Joury Tamunoinemi Bob-Manuel Alexandra Sanchez Fnu Srinithya Amber Sleem Ayman Nasir Abdullah Noor Dana Penfold Robert Bober Daniel P. Morin Selim R. Krim |
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| Affiliation: | 1. John Ochsner Heart and Vascular Institute, Ochsner Medical Center, New Orleans, LA;2. Division of Internal Medicine, Ochsner Medical Center, New Orleans, LA;3. Section of Cardiomyopathy & Heart Transplantation, John Ochsner Heart and Vascular Institute, Ochsner Clinic Foundation, New Orleans, LA;4. The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA;1. Department of Internal Medicine, University of Tennessee Health Science Center, Memphis, TN;2. Department of Medicine, Baptist Memorial Hospital, Memphis, TN;3. College of Medicine, University of Tennessee Health Science Center, Memphis, TN;4. Kaplan-Amonette Department of Dermatology, University of Tennessee Health Science Center, Memphis, TN,;5. Department of Medicine, Division of Cardiovascular Diseases, University of Tennessee Health Science Center, Memphis, TN;1. Azienda Sanitaria Universitaria Integrata di Udine, Italy;2. Ospedale P. Cosma, Camposampiero, Italy;3. Ospedale dell''Angelo, Mestre, Italy;4. Azienda Ospedaliera di Mirano, Mirano, Italy;5. Ospedale di Conegliano, Conegliano, Italy;6. Ospedale Santa Maria degli Angeli, Pordenone, Italy;1. Department of Medicine, Section of Internal Medicine, University of Verona, Verona, Italy;2. Unit of Internal Medicine “Guido Baccelli”, Department of Biomedical Sciences and Human Oncology University of Bari, Aldo Moro Medical School, Bari, Italy;3. Section of Epidemiology and Medical Statistics, University of Verona, Verona, Italy;4. Sorbonne Universitè INSERM UMR-S1136 Institut Pierre Louis d’ Epidemiologie et de Sanitè Publique, Paris, France;77. Veterans Affairs Palo Alto Health Care System, Palo Alto, California |
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| Abstract: | In the last decade, advances in wireless and sensor technologies, and the implementation of telemedicine, have led to innovative digital health care for cardiac patients. Continuous monitoring of patients’ biomedical signals, and acute changes in these signals, may result in timely, accurate diagnoses and implementation of early interventions. In this review, we discuss commonly used wireless and leadless cardiac devices including pulmonary artery pressure sensors, implantable loop recorders, leadless pacemakers and subcutaneous implantable cardioverter-defibrillators. We discuss the concept and function of each device, indications, methods of delivery, potential complications, consideration for implantation, and cost-effectiveness. |
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