Advertisement

2017 Monitoring and Teletransmission of Medical-Data in Heart Failure. First Report

  • Mateusz Tajstra
  • Piotr Rozentryt
  • Elzbieta Gadula-Gacek
  • Jacek Niedziela
  • Elżbieta Adamowicz-Czoch
  • Aneta Ociessa
  • Adam Gacek
  • Arkadiusz Gwóżdź
  • Marcin WilczekEmail author
  • Aleksander Płaczek
  • Konrad Wojciechowski
  • Adam Sokal
  • Zbigniew Kalarus
  • Mariusz Gąsior
  • Lech Poloński
Conference paper
Part of the Advances in Intelligent Systems and Computing book series (AISC, volume 623)

Abstract

Number of analyses taken collectively have provided evidence that RPM using non-invasive approach reduce relative risk of all-cause mortality by 15 - 40%, and the risk of HF-related hospitalizations by 14 - 36%. Improvement of hospitalization was greater in stable as compared to newly decompensated patients and approached 30%, reduction of mortality was more pronounced in patients newly (< 28 days) discharged from the hospital due to acute episode of HF and was estimated at 38%. These techniques were also cost-effective. Optimal RPM techniques in HF are still not established. The large diversity of HF phenotypes likely differing with respect to their pathophysiology precludes one common solution to prevent HF decompensation and hospitalizations. Rather, various individually tailored techniques should be searched for. The implantable cardiac device companies have their own databases and follow-up systems. Users of the platform are assigned to support levels corresponding with their duties and knowledge. We determined a model of cooperation between the medical personnel in the monitoring and care of patients. The users have their own lists of cases to manage. The incidents or follow-up transmissions are the cases to manage. The frst-line/primary support level analyzes the data and determines a course of action.

Keywords

cardiology telemedicine ITIL 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Ponikowski, P., Anker, S.D., AlHabib, K.F., Cowie, M.R., Force, T.L.: Heart failure: preventing disease and death worldwide. ESC Heart Failure, 1, 4–25 (2014)Google Scholar
  2. 2.
    Fang, J., Mensah, G.A., Croft, J.B., Keenan, N.L.: Heart failure-related hospitalization in the U.S., 1979 to 2004. J Am Coll Cardiol, 52, 428–34 (2008)Google Scholar
  3. 3.
    Adamson, P.B., Abraham,W.T, Stevenson, L.W., Desai, A.S., Lindenfeld, J.: Pulmonary Artery Pressure-Guided Heart Failure Management Reduces 30-Day Readmissions. Circ Heart Fail, 9, (2016)Google Scholar
  4. 4.
    Gastelurrutia, P., Cuba-Gyllensten, I., Lupon, J., Zamora, E., Llibre, C.:Wearable vest for pulmonary congestion tracking and prognosis in heart failure: A pilot study. Int J Cardiol, 215, 77–9 (2016)Google Scholar
  5. 5.
    Shochat, M.K., Shotan, A., Blondheim, D.S., Kazatsker, M., Dahan, I.: Non-Invasive Lung IMPEDANCE-Guided Preemptive Treatment in Chronic Heart Failure Patients: A Randomized Controlled Trial (IMPEDANCE-HF Trial). J Card Failet, (2016)Google Scholar
  6. 6.
    Kitsiou, S., Pare, G., Jaana, M.: Effects of home telemonitoring interventions on patients with chronic heart failure: an overview of systematic reviews. J Med Internet Res, 17, 63 (2015)Google Scholar
  7. 7.
    Conway, A., Inglis, S.C., Clark, R.A.: Effective technologies for noninvasive remote monitoring in heart failure. Telemed J E Health, 20, 531–8 (2014)Google Scholar
  8. 8.
    Abraham, W.T., Stevenson, L.W., Bourge, R.C., Lindenfeld, J.A., Bauman, J.G.: Sustained ecacy of pulmonary artery pressure to guide adjustment of chronic heart failure therapy: complete follow-up results from the CHAMPION randomized trial. Lancet 387, 45361 (2016)Google Scholar
  9. 9.
    Desai, A.S.: Implantable Hemodynamic Monitoring in Ambulatory Heart Failure: Who, When, Why, How?. Curr Cardiol Rep 17, 113 (2015)Google Scholar
  10. 10.
    Klersy, C., Boriani, G., De Silvestri, A., Mairesse, G.H., Braunschweig, F.: Effect of telemonitoring of cardiac implantable electronic devices on healthcare utilization: a meta-analysis of randomized controlled trials in patients with heart failure. Eur J Heart Fail, 18, 195–204 (2016)Google Scholar
  11. 11.
    Ponikowski, P., Voors, A.A., Anker, S.D., Bueno, H., Cleland, J.G.: 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC)Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J, 128, (2016)Google Scholar
  12. 12.
    Dubner, S., Auricchio, A., Steinberg, J.S., Vardas, P., Stone, P.: ISHNE/EHRA expert consensus on remote monitoring of cardiovascular implantable electronic devices (CIEDs). Europace, 14, 278–93 (2012)Google Scholar
  13. 13.
    Van, Veldhuisen, D.J., Braunschweig, F., Conraads, V., Ford, I., Cowie, M.R.: Intrathoracic impedance monitoring, audible patient alerts, and outcome in patients with heart failure. Circulation, 124, 1719–26 (2011)Google Scholar
  14. 14.
    De Keulenaer, G.W., Brutsaert, D.L.: Systolic and diastolic heart failure are overlapping phenotypes within the heart failure spectrum. Circulation, 123, 1996–2004 (2011)Google Scholar
  15. 15.
    Rozentryt, P.G., Gwóźdź, A., Wilczek, A.Q., Chłosta-Niepiekło, M., Wojciechowski, K., Tajstra, K., Gadula-Gacek, M., Niedziela, E., Adamowicz-Czoch, J., Sokal, E., Ociessa, A., Kalarus, A., Gąsior, Z., Poloński M.: MONItoring and TELetransmission of medical data in Heart Failure. Rationale and design of the MONITEL-HF project. Interational Journal of Internet Science, (2016)Google Scholar
  16. 16.
    Tajstra, M.S., Gwóźdź, A., Wilczek, A., Gacek, M., Wojciechowski, A., Gadula- Gacek, K., Adamowicz-Czoch, E., Chłosta-Niepiekło, E., Milewski, K., Rozentryt, K., Kalarus, P., Gąsior, Z., Poloński L. M.: REmote SUpervision to Decrease HospitaLization RaTe. Unified and integrated platform for data collected from devices manufactured by different companies: Design and rationale of the RESULT study. Europace, (2016)Google Scholar
  17. 17.
    Gustafsson, F., Arnold, J.M.: Heart failure clinics and outpatient management: review of the evidence and call for quality assurance. Eur Heart J, 25, 1596604 (2004)Google Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Mateusz Tajstra
    • 1
  • Piotr Rozentryt
    • 1
  • Elzbieta Gadula-Gacek
    • 1
  • Jacek Niedziela
    • 1
  • Elżbieta Adamowicz-Czoch
    • 1
  • Aneta Ociessa
    • 1
  • Adam Gacek
    • 2
  • Arkadiusz Gwóżdź
    • 3
  • Marcin Wilczek
    • 3
    Email author
  • Aleksander Płaczek
    • 3
  • Konrad Wojciechowski
    • 4
  • Adam Sokal
    • 5
  • Zbigniew Kalarus
    • 5
  • Mariusz Gąsior
    • 1
  • Lech Poloński
    • 1
  1. 1.Third Department of Cardiology SMDZ in ZabrzeMedical University of Silesia in Katowice, Silesian Centre for Heart DiseaseZabrzePoland
  2. 2.Institute of Medical Technology and EquipmentZabrzePoland
  3. 3.WASKO SAGliwicePoland
  4. 4.Polish Japanese Academy of Information TechnologyWarszawaPoland
  5. 5.Department of Cardiology, Congenital Heart Diseases and Electrotherapy, Silesian Center for Heart DiseasesMedical University of SilesiaZabrzePoland

Personalised recommendations