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Efficacy of ICD/CRT-D Remote Monitoring in Patients With HFrEF: a Bayesian Meta-analysis of Randomized Controlled Trials

  • Clinical Heart Failure (T.E. Meyer, Section Editor)
  • Published:
Current Heart Failure Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

To evaluate remote monitoring using implantable cardioverter-defibrillator (ICD) or cardiac resynchronization therapy defibrillator (CRT-D) devices as an adjunctive tool to the traditional care of patients with heart failure (HF).

Recent Findings

We included 11 trials encompassing 5965 patients. Absolute risk difference (ARD) with 95% credible interval (CrI) was estimated. Pooled (posterior) risk difference was computed using Bayesian hierarchical methods. The ARD for mortality was centered at − 0.01 (95% CrI: − 0.03; 0.01, Tau: 0.02), with an 82% probability of ARD of ICD/CRT-D remote monitoring with respect to control being less than 0. The ARD for cardiovascular mortality was centered at − 0.03 (95% CrI: − 0.11; 0.05, Tau: 0.10), with an 84% probability of ARD of ICD/CRT-D remote monitoring with respect to control being less than 0.

Summary

ICD/CRT-D remote monitoring in patients with HF is associated with a higher probability of reduced all-cause and cardiovascular mortality compared with standard care alone.

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Author information

Authors and Affiliations

  1. Division of Hospital Medicine, University of Kentucky, Lexington, KY, 40536, USA

    Ahmad Al-Abdouh & Taha Ahmed

  2. Department of Medicine, University of Toledo, Toledo, OH, USA

    Mohammed Mhanna

  3. Department of Medicine, University of Florida, Gainesville, FL, USA

    Mohammad As Sayaideh

  4. Department of Cardiology, University of Connecticut, Farmington, CT, USA

    Mahmoud Barbarawi

  5. Department of Cardiology, Creighton University School of Medicine, Omaha, NE, USA

    Waiel Abusnina

  6. Department of Cardiology, Case Western Reserve University/MetroHealth Medical Center, Cleveland, OH, USA

    Ahmad Jabri

  7. Department of Medicine, Mayo Clinic, Rochester, MN, USA

    Hossam Alzu’bi, Anan Abu Rmilah & Ikram-Ul Haq

  8. Department of Internal Medicine, Cleveland Clinic Akron General, Akron, OH, USA

    Ashish Kumar

  9. Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA

    Erin D. Michos

  10. Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, USA

    Gurukripa N. Kowlgi & Abhishek Deshmukh

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  1. Ahmad Al-Abdouh
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Correspondence to Ahmad Al-Abdouh.

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Al-Abdouh, A., Mhanna, M., Sayaideh, M.A. et al. Efficacy of ICD/CRT-D Remote Monitoring in Patients With HFrEF: a Bayesian Meta-analysis of Randomized Controlled Trials. Curr Heart Fail Rep 19, 435–444 (2022). https://doi.org/10.1007/s11897-022-00579-6

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