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Review
. 2023 Jun 13;81(23):2272-2291.
doi: 10.1016/j.jacc.2023.04.010.

Remote Monitoring for Heart Failure Management at Home

Lynne Warner Stevenson  1 , Heather J Ross  2 , Lisa D Rathman  3 , John P Boehmer  4
Affiliations
Free article
Review

Remote Monitoring for Heart Failure Management at Home

Lynne Warner Stevenson et al. J Am Coll Cardiol. .
Free article

Erratum in

  • Correction.
    [No authors listed] [No authors listed] J Am Coll Cardiol. 2023 Jul 11;82(2):182. doi: 10.1016/j.jacc.2023.06.001. J Am Coll Cardiol. 2023. PMID: 37407117 No abstract available.

Abstract

Early telemonitoring of weights and symptoms did not decrease heart failure hospitalizations but helped identify steps toward effective monitoring programs. A signal that is accurate and actionable with response kinetics for early re-assessment is required for the treatment of patients at high risk, while signal specifications differ for surveillance of low-risk patients. Tracking of congestion with cardiac filling pressures or lung water content has shown most impact to decrease hospitalizations, while multiparameter scores from implanted rhythm devices have identified patients at increased risk. Algorithms require better personalization of signal thresholds and interventions. The COVID-19 epidemic accelerated transition to remote care away from clinics, preparing for new digital health care platforms to accommodate multiple technologies and empower patients. Addressing inequities will require bridging the digital divide and the deep gap in access to HF care teams, who will not be replaced by technology but by care teams who can embrace it.

Keywords: digital health care; heart failure; hemodynamics; quality of life; remote monitoring.

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Conflict of interest statement

Funding Support and Author Disclosures Dr Stevenson has provided unpaid consultation and advisory board participation for Abbott Laboratories and Endotronix. Dr Ross has intellectual property related to Medly. Dr Rathman is on the advisory boards for Medtronic, Boston Scientific Corporation, and Abbott Laboratories, for whom she is a speaker. Dr Boehmer has received support for research and consultation from Boston Scientific Corporation, Zoll Medical Corporation, Abbott Laboratories, and Nanowear Inc; and has consulted for Medtronic Inc.