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Current Heart Failure Reports

, Volume 12, Issue 4, pp 269–275 | Cite as

Role of Monitoring Devices in Preventing Heart Failure Admissions

  • Kenneth McDonald
  • Mark Wilkinson
  • Mark Ledwidge
Pathophysiology of Myocardial Failure (I Anand and M Patarroyo-Aponte, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Pathophysiology of Myocardial Failure

Abstract

This review aims to discuss and summarize the evidence base for devices that have a role in monitoring patients with heart failure for the purpose of attempting to prevent heart failure-related admissions. Despite contemporary heart failure service provision, many patients continue to need acute admission for decompensation. There is a clinical need for a better strategy for predicting decompensation earlier so that appropriate therapeutic interventions can be commenced sooner in order to prevent the need for acute hospital admission. Between clinical assessment visits, the contemporary approach to management is based primarily on daily home monitoring of weight by patients; while this has proved useful, it falls short. For example, substantial weight gain was seen in only 20 % of ADHF admission patients according to data collected in the TEN-HMS home telemonitoring study. Monitoring devices offer the possibility of tracking additional physiological or haemodynamic parameters that may allow for earlier detection and more accurate identification of patients at risk of acute decompensation.

Keywords

Telemedicine Health technology Personalized care Early detection Risk score Haemodynamics 

Notes

Compliance with Ethics Guidelines

Conflict of Interest

Kenneth McDonald has received grants from the Heartbeat Trust Limited, European Commission Framework Programme 7 and Department of Health and Health Services Executive of the Irish Government.

Mark Wilkinson has received grants from the Heartbeat Trust Limited, European Commission Framework Programme 7 and Department of Health and Health Services Executive of the Irish Government during the conduct of the study and personal fees from Solvotrin Therapeutics outside the submitted work.

Mark Ledwidge has received grants from the Heartbeat Trust Limited, European Commission Framework Programme 7 and Department of Health and Health Services Executive of the Irish Government.

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.

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Kenneth McDonald
    • 1
    • 2
    • 3
  • Mark Wilkinson
    • 1
    • 2
  • Mark Ledwidge
    • 3
  1. 1.St Vincent’s University HospitalDublinIreland
  2. 2.University College DublinDublinIreland
  3. 3.HeartBeat TrustDublinIreland

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