Role of remote monitoring in detection of atrial arrhythmia, stroke reduction, and use of anticoagulation therapy - A systematic review and meta-analysis

Jia Pei Jang, Hui Ting Lin, Yu Jen Chen, Ming Hsiung Hsieh, Yu Chen Huang

研究成果: 雜誌貢獻文章同行評審

摘要

Background: The effect of remote monitoring (RM) in atrial arrhythmia detection, stroke reduction, and anticoagulation therapy remains unknown, particularly for patients with implantable or wearable cardiac devices. Methods and Results: We performed a systematic review and meta-analysis to evaluate the role of RM in atrial arrhythmia detection, stroke reduction and anticoagulation therapeutic intervention. Online databases were queried to include randomized controlled trials comparing detection of atrial arrhythmia and stroke risk between patients undergoing RM and those receiving in-office (IO) follow-up. Outcomes and complications of RM-guided anticoagulation therapy and conventional therapy in patients with atrial fibrillation were also reviewed. A total of 16 studies were included. Compared with patients receiving IO follow-up, patients undergoing RM had a significantly higher detection rate of atrial arrhythmia (risk ratio [RR], 1.363; 95% confidence interval [CI], 1.147–1.619), and a lower risk of stroke (RR, 0.539; 95% CI, 0.301–0.936). The higher rate of atrial arrhythmia was only noted in patients with wearable devices (RR, 4.070; 95% CI, 2.408–6.877), and the lower risk of stroke was only noted in patients with cardiovascular implantable electronic devices (CIED) (RR, 0.513; 95% CI, 0.265–0.996). Conclusions: RM is effective for atrial arrhythmia detection in patients using wearable devices and for reducing the risk of stroke in patients with CIED.

原文英語
頁(從 - 到)1922-1930
頁數9
期刊Circulation Journal
84
發行號11
DOIs
出版狀態已發佈 - 十月 23 2020

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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