远程监测系统在心血管植入型电子器械的老年患者中应用调查  

Application of remote monitoring systems for cardiac implantable electronic devices in elderly patients

作　　者：刘俊鹏[1] 杨杰孚[1] 佟佳宾[1] 邹彤[1] 施海峰[1] 陈浩[1] 吴素娟[1] 王志蕾[1] 金鑫[1] Liu Junpeng , Yang Jiefu , Tong Jiabin , Zou Tong, Shi Haifeng , Chen Hao, Wu Sujuan , Wang Zhilei ,Jin Xin(Department of Cardiology, Beijing Hospital, National Center of Gerontology, Beijing 100730, China)

机构地区：[1]北京医院心内科国家老年医学中心,100730

出　　处：《中华老年医学杂志》2018年第10期1085-1088,共4页Chinese Journal of Geriatrics

摘　　要：目的调查远程监测系统在心血管植入型电子器械（CIED）老年患者中的应用，评价数据传输成功率以及老年患者使用情况。方法回顾性人选我中心2013年1月至2016年10月共97例植入具有远程监测功能的起搏器／埋藏式心脏转复除颤器（ICD）／心脏再同步化治疗（CRT）≥65岁的老年患者，评价远程监测系统数据传输情况，比较植入1年后门诊随访率，并对患者进行电话调查。结果人选97例老年患者，包括70例起搏器患者，20例ICD患者，7例CRT患者。其中Home Monitoring远程监测系统85例，Merlin．net远程监测系统12例。平均年龄（78．2±6．4）岁，男性64例（66．0％）。1年随访期间，95例（97．9％）患者完成了远程监控，68例（70．1％）完成门诊随访，90例（92．8％）患者完成电话调查，其中85例（94．4％）患者对远程监测系统满意，若再次更换80例（90．0％）患者愿意继续使用远程监测系统。结论对于心血管植入型电子器械老年患者，远程监测系统同样能提高随访率，满意度较高。Objective To investigate the application of remote monitoring systems for cardiac implantable electronic devices （CIED） and its success rate of data transmission in elderly patients. Methods A total of 97 elderly patients who had previously undergone procedures for pacemaker implantation,implantable cardioverter defibrillators （ICD） or cardiac resynehronization therapy （CRT） with remote monitoring capabilities between January 2013 and October 2016 at our hospital were enrolled. We evaluated the effect of the remote monitoring systems for data transmission, compared the outpatient follow up rates between the groups one year after implantation,and conducted a telephone survey of patients. Results A total of 97 elderly patients, including 70 with pacemakers, 20 with ICD and 7 with CRT,were enrolled in this study. Participants had a mean age of （78.2±6.4） years and 64 were male （66.0% ）. The Home Monitoring system was used for 85 eases and the Merlin. net remote monitoring system was used for 12 cases. Overall, 95 patients （97.9%） completed the remote monitoring procedure, 68 patients （70. 1%） completed the outpatient follow-up, and 90 patients （92.8%） completed the telephone survey during a one-year follow-up period. The satisfaction rate for the remote monitoring systems was 94.4% （85 patients）, and 80 patients （90.0%） expressed a willingness to continue to use the remote monitoring system if a replacement was needed. Conclusions For elderly patients with CIED,the remote monitoring systems can improve the followup rate with a high degree of satisfaction.

关 键 词：远程监测 心血管植入型电子器械 

分 类 号：R54[医药卫生—心血管疾病]