APDIC fellows



APDIC Membership

UN MODO SEMPLICE PER AIUTARCI DEVOLVI IL TUO 5X1000 ad APDIC codice fiscale: 91328810378

in evidence

Membership to the association

On the occasion of last December it has started the RENEWAL OF PASSES FOR THE CURRENT YEAR. Those who were not present, or people interested in joining should contact the secretary, Mrs. Luisa Baesi (tel. 345 8491152 - luisa.baesi@gmail.com ), available for any further information.

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CIED follow up Value


Post-implantation CIED follow up is the key to successful therapy delivery, as device programming is tailored to the patients’ changing conditions. Moreover, much diagnostic information is collected by up-to-date CIEDs to integrate and assist the clinical management of patients beyond the pure rhythm disease management.
Though the importance of device follow up is widely appreciated by the personnel involved in the clinical care for stroke prevention and heart failure management it is largely undervalued in many countries. A recent European study has set the premises to establish adequate resource allocation for CIED follow up (Europace 2011; 13:1166-73).
Italy has a nation-wide public health system, where CIED follow up is not covered by the reimbursement for the disease under treatment (cardiac rhythm disorder or Heart failure). The expenses are not negligible, as ICD follow up is recommended every 3 months, and pacemaker every 6 months, in actual guidelines.
Such a policy is unfair compared to other medical-device recipients (cardiac valves, vascular stents) who do not pay for long term monitoring of the implanted device.
We believe that the value of CIED follow up needs to be completely revised, and appropriate reimbursement be set either for remote or in-hospital device check (see also Follow Up).