Remote monitoring of patients with an implantable loop recorder - INAHTA Brief

The HAS undertook to assess the remote monitoring of patients with an implantable loop recorder (ILR).

ILRs are diagnostic medical devices used for continuous monitoring of cardiac activity. They detect and record the patient’s arrhythmia automatically. In France, they are indicated and reimbursed for two purposes: aetiological diagnosis of unexplained recurrent syncope and aetiological diagnosis of cryptogenic stroke.

Conventional follow-up (CF) of patients consists in an analysis of the data recorded, during a medical consultation with the patient every three to six months. The aim of this report is to assess another monitoring method, remote monitoring (RM), which consists, for the medical team, of remotely reading and interpreting, via a secure internet site, the data recorded, and transmitted daily by the ILR.

The HAS selected two main assessment questions to meet this objective:

• assessment of the clinical benefit of remote monitoring compared to CF for patients wearing an ILR;
• assessment of the organisational impact of RM of ILRs on the health system and identification of optimal conditions for carrying out RM.