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Figure 10. Suggested Components of Remote Monitoring
Report
Category Data element
a
Heart rate, rhythm, and heart failure
Heart rate
% Atrial pacing
% Ventricular pacing
Characterize atrial and/or ventricular rate histograms (optional)
Arrhythmia(s)
AF/atrial tachycardia (AT) (% burden, maximum duration)
Mode switches (optional)
Ventricular high-rate events episodes
(number, duration, and electrograms [EGMs])
erapies required for ventricular tachycardia
(VT)/VF termination (appropriate vs inappropriate)
Electrogram morpholog y template
(for VT discrimination algorithm) (optional)
Pause (number and duration)
Patient activated (symptom rhythm correlation)
Heart failure
% Biventricular or LV pacing
oracic impedances (optional)
Heart failure algorithms (optional)
a
Additional manufacturer-specific features can be added if these data will influence patient care/
management and be used by the local device clinic (eg, activity monitor, heart rate variability,
heart failure algorithms). Listed data elements (✓) would be considered the mandatory minimal
data set for a remote monitoring report, unless otherwise denoted.
b
Availability of alerts are manufacturer specific. ese may include but are not limited to RV lead
integrity alert, RV lead noise, lead impedance out of range, AT/AF daily burden (as per user set
threshold), excessive charge time, and low battery voltage. Alert programming should balance
patient safety and actionable clinical information with the burden of nonactionable alerts that
device clinics may encounter with undiscerning programming.Red alerts are defined as critical
alerts requiring urgent review. Yellow alerts are those that, with early review, may lead to an
action that impacts patient outcomes.
(cont'd)
Remote Monitoring Reporting
