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Effects of Telemonitoring and Hemodynamic Monitoring on Mortality in Heart Failure: a Systematic Review and Meta-analysis

  • Cardiovascular Care (L Roever, Section Editor)
  • Published:
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Abstract

Purpose of Review

To examine the effectiveness of telemonitoring and hemodynamic monitoring devices in reducing mortality rates in heart failure. PubMed and Cochrane Library were searched to 1 May 2017 for randomized controlled trials and real-world studies investigating the effects of telemonitoring or hemodynamic monitoring on mortality in heart failure.

Recent Findings

Heart failure is associated with increased mortality. Telemonitoring and hemodynamic monitoring have been shown to reduce mortality rates in some studies but not others.

Summary

Fifty-two and five publications on telemonitoring and hemodynamic monitoring were included. In 23,233 patients (mean age 70 years, mean follow-up 12 ± 10 months), telemonitoring reduced all-cause mortality by 22% (HR = 0.78; 95% confidence interval (CI), 0.74–0.83; P < 0.0001). In 1224 patients (mean age 59 years, mean follow-up 12 ± 6 months), wireless hemodynamic monitoring had no effect on all-cause mortality (HR = 0.87; 95% CI, 0.61–1.25; P > 0.05). Overall, telemonitoring but not hemodynamic monitoring reduced mortality in heart failure.

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References

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

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Funding

GT and SHW are supported by Clinical Assistant Professorships from the Croucher Foundation of Hong Kong. The Foundation played no role in the preparation or content of this manuscript.

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Authors and Affiliations

  1. Department of Medicine and Therapeutics, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong, SAR, People’s Republic of China

    Gary Tse

  2. Li Ka Shing Institute of Health Sciences, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong, SAR, People’s Republic of China

    Gary Tse

  3. Tianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular disease, Department of Cardiology, Tianjin Institute of Cardiology, Second Hospital of Tianjin Medical University, Tianjin, 300211, People’s Republic of China

    Mengqi Gong, Lei Meng & Tong Liu

  4. Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, SAR, People’s Republic of China

    Elizabeth Man Chin Ng, Nelson Siuki Tsang & Guangping Li

  5. Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

    Sadeq Ali-Hasan-Al-Saegh

  6. Department of Medicine, Rutgers New Jersey Medical School, Newark, NJ, USA

    Aishwarya Bhardwaj

  7. Division of Cardiology, Kingston General Hospital, Queen’s University, Kingston, Ontario, Canada

    Adrian Baranchuk

  8. Division of Interventional Cardiology, University of Arizona School of Medicine, Phoenix, AZ, USA

    Abhishek C. Sawant

  9. Department of Cardiovascular Medicine, The First Affiliated Hospital of Dalian Medical University, Dalian, China

    Ying Liu & Yunlong Xia

  10. State Key Laboratory of Cardiovascular Disease, Heart Failure Center, Fuwai Hospital; National Center for Cardiovascular Diseases, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China

    Jian Zhang

  11. Department of Cardiology, Qinghai Provincial People’s Hospital, Xining, China

    Xiao-Ling Su

  12. Department of Clinical Research, Federal University of Uberlândia, Uberlândia, Brazil

    Leonardo Roever

  13. Department of Angio-CardioNeurology, IRCCS Neuromed, Pozzilli, Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, Italy

    Giuseppe Biondi-Zoccai

  14. JC School of Public Health and Primary Care, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong, China

    Martin C. S. Wong

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Tse, G., Gong, M., Meng, L. et al. Effects of Telemonitoring and Hemodynamic Monitoring on Mortality in Heart Failure: a Systematic Review and Meta-analysis. Curr Emerg Hosp Med Rep 7, 36–47 (2019). https://doi.org/10.1007/s40138-019-00181-6

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