Cardiovascular implantable electronic devices, such as pacemakers, defibrillators, and cardiac resynchronization devices, are in widespread use. These devices have sophisticated monitoring capabilities that can help in the management of disease processes. Remote monitoring of such devices, using transmitters that can receive and directly download information stored on the devices from patients’ homes to physicians’ offices, can reduce office visits and decrease time to detection of clinically relevant events. This article explores the utility of such remote monitoring.