Titled "HRS/EHRA Expert Consensus on the Monitoring of Cardiovascular Implantable Electronic Devices (CIED): Description of Techniques, Indications, Personnel, Frequency and Ethical Considerations," a new consensus statement, jointly, developed by the Heart Rhythm Society and the European Heart Rhythm Association, covers various areas of concern and the need for greater focus, ranging from specific clinical issues to those verging on what have become ethical — and almost philosophical — issues.

These include:

factors that determine the type and frequency of device follow-up;

content requirements for both in-person and remote monitoring;

data management considerations, including patient confidentiality and data security;

remote management strategies;

considerations for the development of a global device registry;

roles and responsibilities for physicians, allied professionals, manfaucturers and regulatory agencies;

patient education and responsibilities;

ethical considerations, including CIED management in dying patients;

and reimbursement issues.

— DON LONG, Executive Editor