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Current Heart Failure Reports

, Volume 12, Issue 2, pp 173–186 | Cite as

Technology-Assisted Congestive Heart Failure Care

  • P. Iyngkaran
  • S. R. Toukhsati
  • N. Biddagardi
  • H. Zimmet
  • J. J.Atherton
  • D. L. Hare
Self-Care and Health Outcomes (T Jaarsma, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Self-Care and Health Outcomes

Abstract

The interface between eHealth technologies and disease management in chronic conditions such as chronic heart failure (CHF) has advanced beyond the research domain. The substantial morbidity, mortality, health resource utilization and costs imposed by chronic disease, accompanied by increasing prevalence, complex comorbidities and changing client and health staff demographics, have pushed the boundaries of eHealth to alleviate costs whilst maintaining services. Whilst the intentions are laudable and the technology is appealing, this nonetheless requires careful scrutiny. This review aims to describe this technology and explore the current evidence and measures to enhance its implementation.

Keywords

eHealth Heart failure Implementation Review Technology Telemonitoring 

Abbreviations

ACH

All-cause hospitalization

ACM

All-cause mortality

AF

Atrial fibrillation

AHF

Acute heart failure

CAS

Complex adaptive systems

CDMP

Chronic disease management programmes

CHF

Congestive heart failure

CRT

Cardiac resynchronization therapy

eHealth

Electronic health

ePAD

Estimated pulmonary artery diastolic

HFDMP

Heart failure disease management programmes

HFE

Heart failure decompensation events

HFH

Heart failure hospitalization

HHC

Home health care

HRV

Heart rate variability

ICD

Implantable cardiac defibrillators

ICT

Information and communication technologies

IHM

Implantable haemodynamic monitoring

LAP

Left atrial pressure

MACE

Major adverse cardiovascular event

MV

Minute ventilation

PA

Pulmonary artery

QOL

Quality of life

RCT

Randomized controlled trials

RV

Right ventricular

SDAAM

Atrial-to-atrial intervals

SOP

Standard operating protocols

TLM

Telemedicine, home telemonitoring, telemonitoring, telehealth, telemetry or telesurveillance. Wireless technology for remote follow-up

Notes

Compliance With Ethics Guidelines

Conflict of Interest

Pupalan Iyngkaran declares that he has no conflict of interest.

Samia R. Toukhsati declares that he has no conflict of interest.

Niranjan Biddargardi is the director of goACT Pty Ltd (www.goact.co) and holds shares in goACT Pty Ltd.

Hendrik Zimmet declares that he has no conflict of interest.

John J. Atherton declares that he has no conflict of interest.

David L. Hare declares that he has no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Disclosures

All co-authors have won independent and governmental research funding. Several members provide counsel to pharmaceuticals. None pose a conflict of interest for this short paper. Dr Iyngkaran is supported by the Heart Foundation of Australia Health Professional Scholarship.

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • P. Iyngkaran
    • 1
  • S. R. Toukhsati
    • 2
  • N. Biddagardi
    • 3
  • H. Zimmet
    • 4
  • J. J.Atherton
    • 5
    • 6
  • D. L. Hare
    • 7
  1. 1.NT Medical SchoolFlinders UniversityDarwinAustralia
  2. 2.Austin HealthThe Ohio State UniversityColumbusUSA
  3. 3.eHealth Research, Mental Health Observatory Research Unit, Country Health SALHNMedical School Flinders UniversityAdelaideAustralia
  4. 4.Epworth Hospital RichmondRichmondAustralia
  5. 5.Royal Brisbane and Women’s HospitalUniversity of QueenslandQueenslandAustralia
  6. 6.Queensland University of TechnologyQueenslandAustralia
  7. 7.Cardiovascular Research, Heart Failure Services, Austin HealthUniversity of MelbourneMelbourneAustralia

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