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Implantable devices to monitor patients with heart failure

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Abstract

Reducing heart failure hospitalizations represents a major challenge for modern clinicians. Early detection of congestion plays a key role in disease management strategy. Apart from traditional methods (patient reporting symptoms, body weight monitoring), novel home-care strategies allow guided adjustments in medical therapy through telemonitoring embedded in cardiac electronic implantable devices or through stand-alone diagnostic devices for hemodynamic monitoring. Wireless pulmonary artery pressure monitoring seems to reduce re-admission risk and is currently approved for this purpose in patients with heart failure. Multiparameter monitoring is also appealing and could be a valuable tool in managing these patients. However, invasive techniques face several safety concerns and cost-effectiveness issues. Therefore, quest for future research and emerging technologies is necessary.

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Authors and Affiliations

  1. Evangelismos General Hospital, 45-47 Ipsilantou Str., 10676, Athens, Greece

    Nikolaos Karamichalakis & Antonios Sideris

  2. Attikon General University Hospital, 1 Rimini Str, 122 43, Chaidari, Greece

    John Parissis, George Bakosis, Vasiliki Bistola, Ignatios Ikonomidis & Gerasimos Filippatos

  3. Medical School, University of Cyprus, University House “Anastasios G. Leventis”, 1 Panepistimiou Avenue, 2109 Aglantzia, Nicosia, P.O. Box 20537, 1678, Nicosia, Cyprus

    Gerasimos Filippatos

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Authors Nikolaos Karamichalakis, George Bakosis, Vasiliki Bistola, Ignatios Ikonomidis, and Antonios Sideris declare no conflict of interest. Author John Parissis has received horonaria for lectures from Servier, Novartis, and Roche diagnostics. Author Gerasimos Filippatos is committee member in trials sponsored by Novartis, Medtronic, Bayer, and Servier.

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Karamichalakis, N., Parissis, J., Bakosis, G. et al. Implantable devices to monitor patients with heart failure. Heart Fail Rev 23, 849–857 (2018). https://doi.org/10.1007/s10741-018-9742-8

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