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Practical Management of the Remote Device Clinic

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25 Special programming considerations for ILRs COR LOE Recommendations 1 B-NR 1. In patients with ILRs on RM, it is recommended that clinic staff confirm an actionable event transmission by reviewing the electrograms to exclude misdiagnoses. 1 B-NR 2. In patients with ILRs on RM, it is recommended that programmed alerts be tailored to the clinical indication. 1 B-NR 3. In patients with ILRs on RM and frequent undersensing and/ or oversensing, reprogramming is recommended. 1 B-NR 4. In patients with ILRs on RM for unexplained syncope, it is recommended to emphasize to the patient the need to perform a symptom marking or manual transmission immediately following syncope to obtain a symptom-rhythm correlation. 2a B-NR 5. In patients with ILRs on RM for cryptogenic stroke, it is reasonable to adjust the sensitivity to improve detection of atrial fibrillation (AF). 3: No benefit C-EO 6. In patients with ILRs on RM with consistent connectivity, in- office visits are not indicated for routine patient care.

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