Discussion
From the safety point of view, similar survival rates and safety
outcomes have been demonstrated when RM was compared to in-person
follow-up appointments in randomized clinical trials and
metanalysis2-5. Moreover, it is well known that RM
allows a prompt and quicker detection of arrhythmias and device
malfunctions5. During the study period, we observed
213 clinical events that triggered an urgent manual transmission and/or
required physician’s intervention (table 1), successfully resolved over
the following 24 h. None of the 1676 patients presented to the emergency
room with a problem that went unnoticed by the RM system. However, the
safe profile of RM had to be balanced against the high number of
transmissions that our dedicated team received and that required daily
evaluation (8514 RM transmissions/year).