2023 HRS/EHRA/APHRS/LAHRS Expert Consensus Statement on Practical Management of the Remote Device Clinic

Aileen M. Ferrick, Satish R. Raj, Thomas Deneke, Pipin Kojodjojo, Nestor Lopez-Cabanillas, Haruhiko Abe, Serge Boveda, Derek S. Chew, Jong Il Choi, Nikolaos Dagres, Aarti S. Dalal, Brynn E. Dechert, Camille G. Frazier-Mills, Olivia Gilbert, Janet K. Han, Sherri Hewit, Christine Kneeland, Starr De Ellen Mirza, Suneet Mittal, Renato Pietro RicciMary Runte, Susan Sinclair, Ricardo Alkmim-Teixeira, Bert Vandenberk, Niraj Varma, Elizabeth Davenport, Vicki Freedenberg, Taya V. Glotzer, Jin Long Huang, Takanori Ikeda, Daniel B. Kramer, David Lin, Ulises Rojel-Martínez, Markus Stühlinger, Paul D. Varosy

Research output: Contribution to journalArticlepeer-review

21 Citations (Scopus)


Remote monitoring is beneficial for the management of patients with cardiovascular implantable electronic devices by impacting morbidity and mortality. With increasing numbers of patients using remote monitoring, keeping up with higher volume of remote monitoring transmissions creates challenges for device clinic staff. This international multidisciplinary document is intended to guide cardiac electrophysiologists, allied professionals, and hospital administrators in managing remote monitoring clinics. This includes guidance for remote monitoring clinic staffing, appropriate clinic workflows, patient education, and alert management. This expert consensus statement also addresses other topics such as communication of transmission results, use of third-party resources, manufacturer responsibilities, and programming concerns. The goal is to provide evidence-based recommendations impacting all aspects of remote monitoring services. Gaps in current knowledge and guidance for future research directions are also identified.

Bibliographical note

Publisher Copyright:
Published by Oxford University Press on behalf of the European Society of Cardiology 2023.


  • Alerts
  • CIED
  • Cardiovascular implantable electronic device
  • Connectivity
  • Device clinic
  • Programming
  • Remote monitoring

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)


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