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Current practices in the monitoring of cardiac rhythm devices in pediatrics and congenital heart disease.
- Source :
-
Pediatric cardiology [Pediatr Cardiol] 2015 Apr; Vol. 36 (4), pp. 821-6. Date of Electronic Publication: 2014 Dec 20. - Publication Year :
- 2015
-
Abstract
- Although guidelines for routine follow-up of pacemakers and implantable cardioverter defibrillators (ICDs) are available for adults, minimal data supports their appropriateness in pediatrics and congenital heart disease. This study aimed to define current practices of cardiac rhythm device (CRD) follow-up among pediatric electrophysiologists. Pediatric and Congenital EP Society (PACES) members were surveyed regarding frequency of CRD in-person follow-up as well as transtelephonic monitoring (TTM) and remote monitoring (RM) practices. If home monitoring was used, the effect on in-person follow-up was also evaluated. A total of 106 PACES members responded to the survey. Uncomplicated pacemaker and ICD patients were both followed in-person at a median interval of 6 months (range 1-12 months). TTM was utilized by 67 % of responders (median interval 3 months; range 1-6 months), while RM was used by 87 % for pacemakers (median interval 3 months; range 1-6 months) and 92 % for ICDs (median interval 3 months; range 2 weeks-6 months). When TTM was used, 21 % of responders reduced their frequency of pacemaker clinic visits. In comparison, RM reduced the frequency of clinic visits for pacemakers and ICDs in 32 and 31 % of responders, respectively. Patient age was an independent factor in determining CRD follow-up for 49 % of responders. While CRD follow-up by pediatric electrophysiologists in general follows adult guidelines, individual practices widely vary. In contrast to published recommendations in adults, TTM and RM utilization does not reduce the frequency of in-person visits for the majority of pediatric electrophysiologists.
- Subjects :
- Adolescent
Child
Child, Preschool
Defibrillators, Implantable adverse effects
Female
Follow-Up Studies
Heart Defects, Congenital physiopathology
Humans
Male
Pacemaker, Artificial adverse effects
Pediatrics methods
Practice Guidelines as Topic
Telephone
Time Factors
Treatment Outcome
Electrocardiography methods
Heart Defects, Congenital therapy
Heart Rate
Telemetry instrumentation
Subjects
Details
- Language :
- English
- ISSN :
- 1432-1971
- Volume :
- 36
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Pediatric cardiology
- Publication Type :
- Academic Journal
- Accession number :
- 25527229
- Full Text :
- https://doi.org/10.1007/s00246-014-1090-4