Remote monitoring means that patients do not need to attend an outpatient department for CIED surveillance. Instead, using a telemedicine-based system, devices are monitored from home and information can be downloaded for specialist teams to view at specific times. Alerts can be pre-set to ensure that the specialist team is notified of changes in the device or the patient’s condition much earlier than using the conventional system, when either symptom development would trigger consultation and review, or routine surveillance visits would assess the need for intervention. Therefore, remote monitoring is not only more efficient and convenient for patients, but it is also able to deliver better quality care and safer surveillance. The change to remote monitoring also promotes a more widespread cultural shift to care for patients not just the management of devices.
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