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Remote Electrocardiographic Monitoring with a Wireless Implantable Loop Recorder: Minimizing the Data Review Burden

Introduction: Currently available implantable loop recorders (ILRs) are hampered by limited memory, sensing artifacts, and need for manual memory download. Remote monitoring techniques that automatically transfer stored recordings for review may enhance ILR utility. However, automatic electrocardiograph (ECG) detection and transmission of an excessive number of tracings directly to physicians may be burdensome. This pilot study assessed the utility of direct ILR transmission to a central ECG monitoring center on the burden of data to be reviewed by the physician.