Late-Breaking Clinical Trial Results Announced at Heart Rhythm 2008: PREFER Trial New trial is the first to evaluate and compare remote monitoring follow-up strategies in pacemaker patients FOR IMMEDIATE RELEASE
Contact: Ann-Marie White
Heart Rhythm Society
(202) 464-3476
awhite@hrsonline.org
Lucy McDonald: (202) 306-3456
Heart Rhythm 2008 Press Room: (415) 978-3520 (number effective May 14-17, 2008)
SAN FRANCISCO, May 15, 2008 — A new study finds that physicians can detect and diagnose clinically actionable events earlier in pacemaker patients who utilize remote interrogation compared to those that are followed via routine office visits augmented by transtelephonic monitoring (TTM). These results are part of the PREFER Trial, a late-breaking clinical trial presented today at Heart Rhythm 2008, the Heart Rhythm Society’s 29th Annual Scientific Sessions.
The PREFER Trial is the first to compare remote monitoring diagnosis rates to diagnosis rates using traditional pacemaker follow-up. The prospective, randomized trial analyzed data from 897 patients from 50 centers throughout the United States. At enrollment, patients were randomized 2:1 to have pacemaker follow-up by a combination of in-person programming evaluations augmented by either remote interrogation or transtelephonic rhythm strip evaluations. At each follow-up visit or scheduled transmission, physicians reviewed the available data for pre-specified clinically actionable events.
“With current pacemaker systems continuously recording clinical information, clinicians now have robust and objective data to diagnose clinical events. However, this information is only valuable if providers can access it in a timely manner that enables clinical intervention before the event progresses,” said lead author Bruce L. Wilkoff, MD, FHRS, Director of Cardiac Pacing and Tachyarrhythmia Devices at the Cleveland Clinic and chair of the Heart Rhythm Society’s Health Policy Committee. “Internet-based remote monitoring tools now make it possible for clinical information to reach physicians with minimal intrusiveness for both the patient and the clinician.”
At the end of the 12 month trial, results showed that clinically actionable events are detected earlier in patients that used remote interrogation instead of TTM monitoring. Overall, less than 2 percent of events were detected by remote transmission in patients using TTM monitoring, while more than 60 percent were detected in the patient group that used remote interrogation.
More on Heart Rhythm 2008's Late-Breaking Clinical Trials.
About Heart Rhythm2008
Heart Rhythm 2008 takes place May 14-17 at the Moscone Convention Center in San Francisco. The meeting is the most comprehensive educational event on heart rhythm disorders, offering 250 educational opportunities in multiple formats. The world’s most renowned scientists and physicians will present a wide range of heart rhythm topics including advances in statins, cardiac resynchronization therapy, catheter ablation, cardiac pacing and heart failure and the latest technology, including state-of-the-art pacemakers and defibrillators.