scholarly journals Remote Monitoring in Chronic Heart Failure Patients: Is Non-Invasive Remote Monitoring the Way to Go?

Sensors ◽  
2021 ◽  
Vol 21 (3) ◽  
pp. 887
Author(s):  
Jesse F. Veenis ◽  
Sumant P. Radhoe ◽  
Petra Hooijmans ◽  
Jasper J. Brugts

Heart failure (HF) is a major health care issue, and the incidence of HF is only expected to grow further. Due to the frequent hospitalizations, HF places a major burden on the available hospital and healthcare resources. In the future, HF care should not only be organized solely at the clinical ward and outpatient clinics, but remote monitoring strategies are urgently needed to guide, monitor, and treat chronic HF patients remotely from their homes as well. The intuitiveness and relatively low costs of non-invasive remote monitoring tools make them an appealing and emerging concept for developing new medical apps and devices. The recent COVID-19 pandemic and the associated transition of patient care outside the hospital will boost the development of remote monitoring tools, and many strategies will be reinvented with modern tools. However, it is important to look carefully at the inconsistencies that have been reported in non-invasive remote monitoring effectiveness. With this review, we provide an up-to-date overview of the available evidence on non-invasive remote monitoring in chronic HF patients and provide future perspectives that may significantly benefit the broader group of HF patients.

2017 ◽  
Vol 3 (2) ◽  
pp. 1 ◽  
Author(s):  
Gian Franco Gensini ◽  
Camilla Alderighi ◽  
Raffaele Rasoini ◽  
Marco Mazzanti ◽  
Giancarlo Casolo ◽  
...  

The use of telemonitoring and telemedicine is a relatively new but quickly developing area in medicine. As new digital tools and applications are being created and used to manage medical conditions such as heart failure, many implications require close consideration and further study, including the effectiveness and safety of these telemonitoring tools in diagnosing, treating and managing heart failure compared to traditional face-to-face doctor–patient interaction. When compared to multidisciplinary intervention programs which are frequently hindered by economic, geographic and bureaucratic barriers, non-invasive remote monitoring could be a solution to support and promote the care of patients over time. Therefore it is crucial to identify the most relevant biological parameters to monitor, which heart failure sub-populations may gain real benefits from telehealth interventions and in which specific healthcare subsets these interventions should be implemented in order to maximise value.


Author(s):  
Brent C. Lampert ◽  
William T. Abraham

The initial cause of worsening heart failure is increased intracardiac and pulmonary pressures. Traditional non-invasive heart failure monitoring strategies that follow surrogates of increased pressures have not reduced heart failure hospitalizations. Pulmonary artery pressure measurements using the implantable CardioMEMS system allow daily remote monitoring and earlier identification of heart failure decompensations. In the CHAMPION trial, remote monitoring with the CardioMEMS Heart Failure system significantly reduced hospitalizations for heart failure, even in patients with numerous comorbidities. For patients with refractory advanced heart failure, mechanical circulatory support can markedly improve the length and quality of life but can also have multiple complications. Implantable hemodynamic monitoring with CardioMEMS may provide clinicians with better information to guide the timing of left ventricular assist device implantation and to improve post-implant care.


2013 ◽  
Vol 19 (6) ◽  
pp. 326-337 ◽  
Author(s):  
Aaron Conway ◽  
Sally C Inglis ◽  
Anne M Chang ◽  
Margaret Horton-Breshears ◽  
John GF Cleland ◽  
...  

10.2196/25937 ◽  
2020 ◽  
Author(s):  
Pawel Krzesinski ◽  
Aleksander Sobotnicki ◽  
Adam Gacek ◽  
Janusz Siebert ◽  
Andrzej Walczak ◽  
...  

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