Background:
Insertable Cardiac Monitors (ICM) produce burdensome and usually clinically nonactionable alerts if not programmed properly. Tailored programming of ICM alert parameters is essential to reduce the number of nonactionable alerts. Our objective was to apply a dynamic Remote Reprogramming (RR) alert protocol to reduce nonactionable alerts and optimize the time required for ICM remote management.
Methods:
A single center ICM population was evaluated at baseline and at 30 days after applying the protocol. The EMR and Carelink were used to establish the number of alerts, overall ICM remote volume and clinical data. An alert reprogramming decision tree (Figure 1) was used to RR devices if alerts were nonactionable.