NYMC Faculty Publications

Remote Patient Monitoring in Chronic Heart Failure

Author Type(s)

Faculty

DOI

10.1097/CRD.0b013e318276198b

Journal Title

Cardiology in Review

First Page

141

Last Page

150

Document Type

Article

Publication Date

1-1-2013

Keywords

Chronic Disease, Defibrillators, Implantable, Equipment Failure, Heart Failure, Hemodynamics, Humans, Legislation, Medical, Monitoring, Ambulatory, Monitoring, Physiologic, Pacemaker, Artificial, Reimbursement Mechanisms, Remote Consultation, Risk Assessment, Telephone, Treatment Outcome, Ventricular Function, Right

Disciplines

Medicine and Health Sciences

Abstract

Heart failure (HF) poses a significant economic burden on our health-care resources with very high readmission rates. Remote monitoring has a substantial potential to improve the management and outcome of patients with HF. Readmission for decompensated HF is often preceded by a stage of subclinical hemodynamic decompensation, where therapeutic interventions would prevent subsequent clinical decompensation and hospitalization. Various methods of remote patient monitoring include structured telephone support, advanced telemonitoring technologies, remote monitoring of patients with implanted cardiac devices such as pacemakers and defibrillators, and implantable hemodynamic monitors. Current data examining the efficacy of remote monitoring technologies in improving outcomes have shown inconsistent results. Various medicolegal and financial issues need to be addressed before widespread implementation of this exciting technology can take place.

Link to Full Text

Share

COinS