key: cord-0863368-onp1cinh
authors: Chen, Xu; Liu, Han‐xiong; Tong, Lin; Yang, Si‐qi; Qi, Ling‐yao; Xiong, Shi‐qiang; Luo, Yan; Cai, Lin
title: Clinical use of real‐time remote programming in pacemakers during the COVID‐19 pandemic: A case report
date: 2022-03-03
journal: Pacing Clin Electrophysiol
DOI: 10.1111/pace.14461
sha: fc7663c5ef6aeb033fddad9e9884e3df676e0807
doc_id: 863368
cord_uid: onp1cinh

We report a case in which real‐time remote interrogation and reprogramming of the parameters of a dual‐chamber pacemaker was performed during the COVID‐19 pandemic. The described case demonstrated the safety and effectiveness of CIED remote programming based on the 5G cloud technology support platform (5G‐CTP), and showed that the application of real‐time remote programming would help in reducing the risk of cross‐infection between doctors and patients.

We report the case of a 75-year-old man who was diagnosed with sick sinus syndrome and was treated with an implanted dual-chamber pace- The entire remote follow-up took 10 min, and the patient had no discomfort. The pacemaker's parameters were successfully reprogrammed, and there was no delay or interruption in signal transmission 

Patients with CIEDs should undergo regular follow-up to ensure

proper CIED functioning and programming. 1 The patient in this case did not receive routine follow-up after pacemaker implantation due to the impact of the COVID-19 epidemic, which led to unnecessary VP. To ensure the security of the 5G-CTP permissions, specialists need to use a designated account, login password, and dynamic password authentication code to log into the app, and it is necessary to put the programmer wand on the patient's device to achieve remote programming. Additionally, the 5G-CTP uses 2048-bit RSA asymmetric key exchange and autonomous P2P data transfer protocol building on AES encryption mechanism to guarantee security of communication 

CIED real-time remote programming based on the 5G-CTP can be used to achieve remote parameters programming safely and effectively.

During the COVID-19 pandemic, the application of this technology could help reduce the risk of cross-infection between patients and healthcare providers. Further studies with large sample sizes, multiple centers, and long-term follow-up are required to verify the safety and effectiveness of real-time remote programming during CIED follow-up.

ACC/AHA/HRS guideline on the evaluation and management of patients with bradycardia and cardiac conduction delay: a Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society

Adverse effect of ventricular pacing on heart failure and atrial fibrillation among patients with normal baseline QRS duration in a clinical trial of pacemaker therapy for sinus node dysfunction

Guidance for cardiac electrophysiology during the COVID-19 pandemic from the Heart Rhythm Society COVID-19 Task Force; Electrophysiology Section of the American College of Cardiology; and the Electrocardiography and Arrhythmias Committee of the Council on

Impact of COVID-19 pandemic on remote monitoring of cardiac implantable electronic devices in Italy: results of a survey promoted by AIAC (Italian Association of Arrhythmology and Cardiac Pacing)

The use of remote monitoring of cardiac implantable devices during the COVID-19 pandemic: an EHRA physician survey

First global case of using 5G-cloud technology support platform for zero-contact parameter testing and programming during implantable cardioverter defibrillator implantation

The authors would like to thank the Science and Technology Depart- 

The authors have no conflicts of interest to declare that are relevant to the content of this case.

Informed consent was obtained from the patient who was described in the case report.

The participant has consented to the submission of the case report to the journal.