Remote Monitoring of Pacemakers and Defibrillators


Remote monitoring of cardiac devices including" pacemaker, defibrillator, or implantable loop recorder, allows us to keep a check on your heart device without you always having to visit the hospital or clinic.

A pacemaker is a small device that is placed under the skin, usually in the upper chest to help control slow or irregular heart rhythms. It uses electrical pulses to prompt the heart to beat at a normal rate.

On the other hand, a defibrillator, is also a device placed under the skin. It is similar to a pacemaker but has an added function. While it can control slow and irregular heartbeats, it can also deliver an electric shock if the heart is beating chaotically and much too fast. This shock can save a life if the heart is racing out of control.

A loop recorder is a small device inserted under the skin which monitors your heart beat. It is used to record abnormal heart rhythms which are infrequent and might not be picked up on monitors which only record for a short time. It’s only function is to record the heart beat.

These heart devices, apart from their primary function, have the ability to store and transmit data. Remote monitoring involves using technology to send this information from your device to the medical team when something unusual happens.

  1. Transmission Device: If you have a modern smart phone this can be used to communicate with your cardiac device. If not, you will be given a special transmission device, which might look like a small circular box or even resemble a tablet.

  2. Data Transmission: The cardiac device (pacemaker/defibrillator/loop recorder) will be programmed to transmit data in two circumstances: first, if there is a malfunction of the device or the battery is getting low; second, if an abnormal or dangerous rhythm is recorded. This will happen automatically.

  3. Receiving End: On the other side, we have a system in place to receive and interpret this data. They’ll get updates about your heart rate, the device’s battery life, and any unusual activity like rapid heartbeats or device malfunctions.

  1. Timely Interventions: If something goes wrong or appears unusual, your medical team can catch it early. This could be a life-saving intervention, especially if your device detects abnormal heart rhythms or if there are issues with the device itself.

  2. Convenience: With remote monitoring, the need for frequent in-person check-ups is reduced. In general, this means you will be seen once a year in the clinic and the other checks will occur ‘remotely’.

  3. Peace of Mind: Knowing that your device is continuously being monitored can offer significant peace of mind. Even if you feel fine, the data can reassure both you and your doctors that everything is functioning as it should.

While your cardiac device can send information to our clinic. We cannot reprogram the device remotely. If a change in the device programming is required then you will still need to attend the clinic.

Remote monitoring ensures that your implantable cardiac device is working properly and your heart is beating as it should. It allows early detection of a malfunction or abnormal arrhythmia, and reduces the number of clinic appointments you will have to attend.