{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T13:57:33Z","timestamp":1778075853480,"version":"3.51.4"},"reference-count":16,"publisher":"Cambridge University Press (CUP)","issue":"10","license":[{"start":{"date-parts":[[2019,9,2]],"date-time":"2019-09-02T00:00:00Z","timestamp":1567382400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>There is growing interest in the use of digital medicine to reduce the need for traditional outpatient follow-up. Remote interrogation of pacemakers and implantable cardioverter defibrillators is now possible with most devices. The aim of our study was to evaluate the safety and efficacy of virtual pacing clinics in following up children with pacemakers and implantable cardioverter defibrillators, including epicardial systems.<\/jats:p><jats:sec id=\"S1047951119001823_s100\"><jats:title>Methods:<\/jats:title><jats:p>The study was retrospective over 8 years (2010\u20132017), with review of patient records and analysis of downloads from the implantable cardiac devices to the virtual clinics.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951119001823_s200\"><jats:title>Results:<\/jats:title><jats:p>A total of 75 patients were set up for virtual clinic follow-up during the study period, 94.5% with a pacemaker and 5.5% an implantable cardioverter defibrillator. The majority (76.8%) had an epicardial system. Data on lead impedance, battery longevity, programmed parameters, detected arrhythmias, percentage pacing and delivered defibrillator therapies were obtainable by download. Lead threshold measurements were obtainable via download in 83.7% of the devices, including epicardial systems. No concerning device issue was missed. In 15% of patients a major issue was detected remotely, including three patients with lead fractures. The virtual clinics resulted in fewer hospital attendances while enhancing monitoring and enabling more frequent device checks. The vast majority (91.4%) of families who responded to a questionnaire were satisfied with the virtual clinic follow-up.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951119001823_s300\"><jats:title>Conclusions:<\/jats:title><jats:p>Virtual clinics allow safe and effective follow-up of children with pacemakers and implantable cardioverter defibrillators, including those with epicardial systems and are associated with high levels of parent satisfaction.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951119001823","type":"journal-article","created":{"date-parts":[[2019,9,2]],"date-time":"2019-09-02T11:12:14Z","timestamp":1567422734000},"page":"1243-1247","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":2,"title":["Virtual clinics for follow-up of pacemakers and implantable cardioverter defibrillators in children"],"prefix":"10.1017","volume":"29","author":[{"given":"Georgia","family":"Spentzou","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaitlin","family":"Mayne","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen","family":"Fulton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6202-8509","authenticated-orcid":false,"given":"Karen","family":"McLeod","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2019,9,2]]},"reference":[{"key":"S1047951119001823_ref1","volume-title":"Royal College of Physicians. Outpatients: The Future \u2013 Adding Value Through Sustainability","author":"Isherwood","year":"2018"},{"key":"S1047951119001823_ref5","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.110.937409"},{"key":"S1047951119001823_ref10","doi-asserted-by":"publisher","DOI":"10.1111\/jce.12829"},{"key":"S1047951119001823_ref14","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-013-0774-5"},{"key":"S1047951119001823_ref3","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eup110"},{"key":"S1047951119001823_ref7","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-013-9783-9"},{"key":"S1047951119001823_ref2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.k2472"},{"key":"S1047951119001823_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2010.12.012"},{"key":"S1047951119001823_ref15","first-page":"73","article-title":"Automatic capture verification in pacemakers (AutoCapture) \u2013 utility and problems","volume":"4","author":"Kam","year":"2004","journal-title":"Indian Pacing Electrophysiol J"},{"key":"S1047951119001823_ref8","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehr419"},{"key":"S1047951119001823_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2011.09.004"},{"key":"S1047951119001823_ref9","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-016-0112-y"},{"key":"S1047951119001823_ref12","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951114002613"},{"key":"S1047951119001823_ref13","doi-asserted-by":"publisher","DOI":"10.1111\/pace.12600"},{"key":"S1047951119001823_ref16","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euu080"},{"key":"S1047951119001823_ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s12471-011-0239-5"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951119001823","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,2,24]],"date-time":"2021-02-24T14:53:49Z","timestamp":1614178429000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951119001823\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9,2]]},"references-count":16,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2019,10]]}},"alternative-id":["S1047951119001823"],"URL":"https:\/\/doi.org\/10.1017\/s1047951119001823","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,9,2]]},"assertion":[{"value":"\u00a9 Cambridge University Press 2019\u00a0","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}