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Practical Management of the Remote Device Clinic

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24 Programming for clinical indications with different types of CIEDs COR LOE Recommendations 1 B-R 1. In patients with CIEDs on RM, it is recommended that alert parameters be customized to clinical indications. 1 C-LD 2. In patients with ICDs on RM, it is recommended that the ICD be programmed to alert the clinic for all ventricular shock therapies. 2a B-R 3. In patients with CIEDs on RM, it is reasonable to remotely monitor HF diagnostics to detect incident HF and/or progression. 2a C-LD 4. In patients with CIEDs on RM with CRT, it is reasonable that the CIED be programmed to alert the clinic when there is a low percentage of biventricular pacing. 2a C-LD 5. In patients with CIEDs on RM with atrial arrhythmia monitoring capabilities, it is reasonable that the CIED be programmed to alert the clinic of the first episode, a prolonged episode, or a high burden of atrial arrhythmia. 2a C-LD 6. In patients with ICDs on RM, it is reasonable that the CIED be programmed to alert the clinic for all ventricular anti- tachycardia pacing therapies. 2a C-EO 7. For the care of patients with CIEDs on RM, it is reasonable that the CIED be programmed to alert the clinic for excessive percentage of RV pacing. Programming Considerations for Optimal Remote Monitoring

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