• Rosanna Irene Comoretto, Domenico Facchin, Marco Ghidina, Alessandro Proclemer, and Dario Gregori.
• Internal Medicine Unit, Gemona del Friuli Hospital, Gemona del Friuli, Italy.
• J Eval Clin Pract. 2017 Aug 1; 23 (4): 681-689.

BackgroundHealth-related quality of life (HRQoL) improves shortly after pacemaker (PM) implantation. No studies have investigated the HRQoL trend for elderly patients with a remote device monitoring follow-up system.MethodsUsing EuroQol-5D Questionnaire and the PM-specific Assessment of Quality of Life and Related Events Questionnaire, HRQoL was measured at baseline and then repeatedly during the 6 months following PM implantation in a cohort of 42 consecutive patients. Twenty-five patients were followed-up with standard outpatient visits, while 17 used a remote monitoring system.ResultsAquarel scores were significantly higher in patients with remote device monitoring system regarding chest discomfort and arrhythmia subscales the first month after PM implant and remained stable until 6 months. Remote monitoring affected the rate of HRQoL improvement in the first 3 months after pacemaker implantation more than ambulatory follow-up.ConclusionsRemote device monitoring has a significant impact on HRQoL in pacemaker patients, increasing its levels up to 6 months after implant.© 2017 John Wiley & Sons, Ltd.

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