Remote monitoring of implanted devices. New possibilities of diagnosis and treatment of arrhythmias and heart failure

Ever more technologies find their application in pacemakers and implantable cardioverter-defibrillators (ICD). Impetuous development of telecommunication technologies led to devices that enable patient follow-up (FU) not only during ambulatory visits but also spanning time in between, thus allowing for patient permanent remote monitoring. Safety of heart electrotherapy has been increased, perspectives have been opened to implicate new therapeutic approaches significantly reducing the number of FU visits; diagnostic and therapeutic options of implants have been extended. Permanent mobile remote monitoring with the aid of CRT-systems (Cardiac Resynchronization Therapy) registering a set of parameters under one "Heart Failure Monitor" option can partly solve the problem of acute complications in heart failure (HF) patients. A significant progress on that way has been achieved with the new IEGM Online option of Home Monitoring (BIOTRONIK) technology marking the origin of new medical service. The new technology has proven its efficiency in diagnostics of atrial fibrillation (AF), cost-saving FU of heart failure patients and timely optimization of their pacemaker and medication therapy.