Integrazione del monitoraggio remoto del dispositivo di stimolazione cardiaca impiantabile (CIED) nella cura dell'insufficienza cardiaca: evidenze, sfide e opportunità.

Remote monitoring (RM) of cardiac implantable electronic devices (CIEDs) has evolved from simple device integrity checks to a cornerstone of personalized heart failure (HF) management. By enabling early detection of subclinical deterioration, CIED-based RM supports proactive clinical interventions, potentially reducing hospitalizations and improving outcomes. Multiparametric algorithms such as HeartLogic, TriageHF, and HeartInsight integrate hemodynamic and arrhythmic parameters to predict HF events with good sensitivity. However, despite increasing evidence of clinical and economic benefits, RM implementation remains inconsistent due to heterogeneous protocols, data latency, and inadequate