Remote monitoring reduces healthcare use and improves quality of care in heart failure patients with implantable defibrillators: The evolution of management strategies of heart failure patients with implantable defibrillators (EVOLVO) study

Maurizio Landolina, Giovanni B. Perego, Maurizio Lunati, Antonio Curnis, Giuseppe Guenzati, Alessandro Vicentini, Gianfranco Parati, Gabriella Borghi, Paolo Zanaboni, Sergio Valsecchi, Maurizio Marzegalli

Research output: Contribution to journalArticlepeer-review

Abstract

Background-Heart failure patients with implantable cardioverter- defibrillators (ICDs) or an ICD for resynchronization therapy often visit the hospital for unscheduled examinations, placing a great burden on healthcare providers. We hypothesized that Internet-based remote interrogation systems could reduce emergency healthcare visits. Methods and Results-This multicenter randomized trial involving 200 patients compared remote monitoring with standard patient management consisting of scheduled visits and patient response to audible ICD alerts. The primary end point was the rate of emergency department or urgent in-office visits for heart failure, arrhythmias, or ICD-related events. Over 16 months, such visits were 35% less frequent in the remote arm (75 versus 117; incidence density, 0.59 versus 0.93 events per year; P=0.005). A 21% difference was observed in the rates of total healthcare visits for heart failure, arrhythmias, or ICD-related events (4.40 versus 5.74 events per year; P

Original languageEnglish
Pages (from-to)2985-2992
Number of pages8
JournalCirculation
Volume125
Issue number24
DOIs
Publication statusPublished - Jun 19 2012

Keywords

  • Cardiac resynchronization therapy
  • Defibrillators, implantable
  • Heart failure
  • Telemedicine

ASJC Scopus subject areas

  • Physiology (medical)
  • Cardiology and Cardiovascular Medicine

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