Detecting Deaths of Patients with CIEDs on Remote Monitoring-Detecting Deaths of Patients with CIEDs on Remote Monitoring

Video Transcription

Video Summary

The session at the Heart Rhythm Society conference focused on detecting patient deaths with Cardiac Implantable Electronic Devices (CIEDs) through remote monitoring. Martha Ferraro and Dr. Sam Sears led the discussion, highlighting the significance of remote monitoring in modern healthcare practices. The session included presentations from several experts, such as Christopher Monkhouse, who emphasized the growing reliance on remote monitoring and the essential role it plays in patient safety, particularly in managing the data received from transmissions.<br /><br />Monique Young discussed how clinicians should respond to remote monitoring alerts, pointing out the burden these alerts can place on healthcare providers due to their volume and the challenge of triaging them appropriately. She emphasized structured workflows and support staff to better manage this process.<br /><br />Machi Derbis analyzed how certain remote monitoring indicators, like ICD shocks or low biventricular pacing percentages, can predict long-term mortality. However, he noted that immediate pre-death alerts are less common, suggesting a trend towards multi-morbidity or non-cardiac death causes.<br /><br />Nyree Sencion-Akhtar addressed the emotional impact on clinicians who witness a patient’s death via remote monitoring. Through surveys, she identified prevalent feelings like sadness and helplessness among healthcare workers. She suggested implementing strategies from other medical specialties, such as open communication and peer support, to manage these emotional challenges effectively.<br /><br />In conclusion, while remote monitoring is largely beneficial for patient safety and healthcare efficiency, it also poses emotional and logistical challenges that need to be managed strategically for optimal outcomes.

Keywords

Cardiac Implantable Electronic Devices

remote monitoring

patient safety

healthcare efficiency

CIEDs

structured workflows

ICD shocks

emotional impact

healthcare providers

mortality prediction