Assisted reality device to guide cardiac implantable device programming in distant rural areas.
Background: Patients with cardiac implantable electronic devices (CIEDs) living in rural areas have difficulty obtaining follow‐up visits for device interrogation and programming in specialized healthcare facilities. Objective: To describe the use of an assisted reality device designed to provide fr...
| Publicado en: | Journal of Cardiovascular Electrophysiology Vol. 34; no. 3; pp. 497 - 502 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Mar2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=162381834&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 162381834 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10453873 GSB jtl: Journal of Cardiovascular Electrophysiology issn: 10453873 maglogo: Y pubinfo: dt: Mar2023 vid: 34 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 162381834 161410698 162381834 162381834 10.1111/jce.15815 162381834 ppf: 497 ppct: 5 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Assisted reality device to guide cardiac implantable device programming in distant rural areas. aug: au: Diaz, Juan C. Cañas, Felipe Duque, Mauricio Aristizabal, Julian Niño, Cesar Bastidas, Oriana Marin, Jorge Rivera, Estefania Hoyos, Carolina Matos, Carlos Peralta, Adelqui Martin, David T. Romero, Jorge affil: Division of Cardiovascular Medicine, Cardiac Arrhythmia Center, Clinica Las Vegas Grupo Quiron Salud, Universidad CES, Medellin, Colombia sug: subj: Defibrillators, Implantable Rural Areas Colombia Telemedicine Cardiovascular Care Human Prospective Studies Electrophysiology Male Female Middle Age Aged Aged, 80 and Over Pacemaker, Artificial Remote Consultation United States Colombia Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Background: Patients with cardiac implantable electronic devices (CIEDs) living in rural areas have difficulty obtaining follow‐up visits for device interrogation and programming in specialized healthcare facilities. Objective: To describe the use of an assisted reality device designed to provide front‐line workers with real‐time online support from a remotely located specialist (Realwear HTM‐1; Realwear) during CIED assistance in distant rural areas. Methods: This is a prospective study of patients requiring CIED interrogation using the Realwear HMT‐1 in a remote rural population in Colombia between April 2021 and June 2022. CIED interrogation and device programming were performed by a general practitioner and guided by a cardiac electrophysiologist. Non‐CIED‐related medical interventions were allowed and analyzed. The primary objective was to determine the incidence of clinically significant CIED alerts. Secondary objectives were the changes medical interventions used to treat the events found in the device interrogations regarding non‐CIED related conditions. Results: A total of 205 CIED interrogations were performed on 139 patients (age 69 ± 14 years; 54% female). Clinically significant CIED alerts were reported in 42% of CIED interrogations, consisting of the detection of significant arrhythmias (35%), lead malfunction (3%), and device in elective replacement interval (3.9%). Oral anticoagulation was initiated in 8% of patients and general medical/cardiac interventions unrelated to the CIED were performed in 52% of CIED encounters. Conclusion: Remote assistance using a commercially available assisted reality device has the potential to provide specialized healthcare to patients in difficult‐to‐reach areas, overcoming current difficulties associated with RM, including the inability to change device programming. Additionally, these interactions provided care beyond CIED‐related interventions, thus delivering significant social and clinical impact to remote rural populations. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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