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Remote Physiologic Monitoring for Heart Failure

Current Cardiology Reports volume 22, Article number: 68 (2020) Cite this article

Abstract

Purpose of Review

This review will describe the process of remote monitoring in the treatment of heart failure and the clinical trials for different modalities of data collection.

Recent Findings

Small studies monitoring weights, sometimes with other parameters, suggested a significant outcome benefit in meta-analysis. However, this has not been seen in larger studies. Clinical trials of remote monitoring using hemodynamic parameters seems to lead to improved outcomes, with more studies underway. Recently, multi-parameter methods with wearable or implantable devices have shown promise in detecting heart failure. The impact on clinical outcomes is being assessed.

Summary

When using parameters such as daily weights, remote monitoring for heart failure has not been demonstrated to be broadly beneficial, while remote monitoring of hemodynamic parameters to guide heart failure therapy has met with initial success. Methods of combining multiple physiologic measurements appear to accurately detect worsening heart failure, and clinical trials are underway to assess the impact.

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Fig. 1

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Affiliations

  1. Division of Cardiology, Penn State Health Milton S. Hershey Medical Center, Penn State College of Medicine, H047, 500 University Drive, Hershey, PA, 17033, USA

    Omaima Ali & John P. Boehmer

  2. Division of Internal Medicine, Penn State Health Milton S. Hershey Medical Center, Penn State College of Medicine, Hershey, PA, USA

    Alexander G. Hajduczok

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  1. Omaima Ali
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Correspondence to John P. Boehmer.

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Conflict of Interest

Omaima Ali and Alexander G. Hajduczok declare that they have no conflict of interest. John P. Boehmer reports grants and personal fees from Boston Scientific Corp, personal fees from Medtronic, grants from Abbott, during the conduct of the study, and grants and personal fees from Respicardia, outside the submitted work.

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This article is part of the Topical Collection on Heart Failure

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Ali, O., Hajduczok, A.G. & Boehmer, J.P. Remote Physiologic Monitoring for Heart Failure. Curr Cardiol Rep 22, 68 (2020). https://doi.org/10.1007/s11886-020-01309-x

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  • DOI: https://doi.org/10.1007/s11886-020-01309-x

Keywords

  • Remote monitoring
  • Heart failure
  • Hemodynamic monitoring
  • Hospitalization