2023 HRS/EHRA/APHRS/LAHRS expert consensus statement on practical management of the remote device clinic

Abstract

Remote monitoring is beneficial for the management of patients with cardiovascular implantable electronic devices by impacting morbidity and mortality. With increasing numbers of patients us-ing remote monitoring, keeping up with higher volume of remote monitoring transmissions creates challenges for device clinic staff. This international multidisciplinary document is intended to guide cardiac electrophysiologists, allied professionals, and hospital administrators in managing remote monitoring clinics. This includes guidance for remote monitoring clinic staffing, appropriate clinic workflows, patient education, and alert man-agement. This expert consensus statement also addresses other topics such as communication of transmission results, use of third-party resources, manufacturer responsibilities, and pro-gramming concerns. The goal is to provide evidence-based recom-mendations impacting all aspects of remote monitoring services. Gaps in current knowledge and guidance for future research direc-tions are also identified.