Cardiovascular Implantable Electronic Devices Enabled Remote Heart Failure Monitoring; What We Have Learned and Where to Go Next

S. Assa, K. Vernooy, A.M.W. van Stipdonk*

*Corresponding author for this work

Research output: Contribution to journal(Systematic) Review article peer-review

Abstract

Despite recent developments, heart failure (HF) remains to be a great burden to the individual patient, entailing major morbidity and mortality. Moreover, HF is a great burden to overall healthcare, mainly because of frequent hospitalizations. Timely diagnosis of HF deterioration and implementation of appropriate therapy may prevent hospitalization and eventually improve a patient's prognosis; however, depending on the patient's presentation, the signs and symptoms of HF often offer too little therapeutic window to prevent hospitalizations. Cardiovascular implantable electronic devices (CIEDs) can provide real-time physiologic parameters and remote monitoring of these parameters can potentially help to identify patients at high risk. However, routine implementation of remote monitoring of CIEDs has still not been widely used in daily patient care. This review gives a detailed description of available metrics for remote HF monitoring, the studies that provide evidence of their efficacy, ways to implement them in clinical HF practice, as well as lessons learned on where to go on from where we currently are.
Original languageEnglish
Article number152
Number of pages15
JournalJournal of Cardiovascular Development and Disease
Volume10
Issue number4
DOIs
Publication statusPublished - 1 Apr 2023

Keywords

  • heart failure
  • cardiac implantable electronic devices
  • remote monitoring
  • thoracic impedance
  • HeartLogic
  • triage HF
  • DIAGNOSTICS IDENTIFY PATIENTS
  • INTRATHORACIC IMPEDANCE
  • CARDIAC-RESYNCHRONIZATION
  • MULTISENSOR ALGORITHM
  • CLINICAL UTILITY
  • FLUID STATUS
  • RISK
  • MANAGEMENT
  • HOSPITALIZATIONS
  • HF

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