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Review
. 2023 Apr 24:12:e15.
doi: 10.15420/aer.2022.13. eCollection 2023.

Clinical Pathways Guided by Remotely Monitoring Cardiac Device Data: The Future of Device Heart Failure Management?

Joanne K Taylor  1 , Fozia Zahir Ahmed  2   3
Affiliations
Review

Clinical Pathways Guided by Remotely Monitoring Cardiac Device Data: The Future of Device Heart Failure Management?

Joanne K Taylor et al. Arrhythm Electrophysiol Rev. .

Abstract

Research examining the utility of cardiac device data to manage patients with heart failure (HF) is rapidly evolving. COVID-19 has reignited interest in remote monitoring, with manufacturers each developing and testing new ways to detect acute HF episodes, risk stratify patients and support self-care. As standalone diagnostic tools, individual physiological metrics and algorithm-based systems have demonstrated utility in predicting future events, but the integration of remote monitoring data with existing clinical care pathways for device HF patients is not well described. This narrative review provides an overview of device-based HF diagnostics available to care providers in the UK, and describes the current state of play with regard to how these systems fit in with current HF management.

Keywords: Heart failure; cardiac devices; remote monitoring.

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Conflict of interest statement

Disclosure: FZA has previously received a research grant funded by Medtronic and has received consultancy fees from AstraZeneca, Medtronic, Pfizer, Pharmacosmos, Servier and Vifor. JKT has previously filled a research post funded by Medtronic. JKT is funded by the British Heart Foundation (FS/19/8/34163), and receives support as a Peter Mount awardee at Manchester University NHS Foundation Trust. Funding: No direct funding received

Figures

Figure 1:
Figure 1:. Example of Web-Based Remote Monitoring Platform: Medtronic CareLink Network and Heart Failure Management Report
Figure 2:
Figure 2:. Abbot CardioMEMS HF System
Figure 3:
Figure 3:. Schematic of the TriageHF Plus Clinical Care Pathway
See this image and copyright information in PMC

References

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