Implantable devices to monitor patients with heart failure

Karamichalakis, Nikolaos; Parissis, John; Bakosis, George; Bistola, Vasiliki; Ikonomidis, Ignatios; Sideris, Antonios; Filippatos, Gerasimos

doi:10.1007/s10741-018-9742-8

Cited by 5 publications

(3 citation statements)

References 58 publications

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“…Both these methods have been used in patients with chronic HF, either individually or in combination [ 16 ]. According to the existing literature, TH methods for HF patients [ 17 , 18 , 19 , 20 ] mainly involve the following: Telephone support systems Implants (invasive): Cardiovascular electronic devices (ICDs, CRT-Ds), hemodynamic sensors (filling pressures such as right ventricular pressure, pulmonary artery pressure, left atrial pressure, central venous pressure, interstitial fluid pressure) for remote intra cardiac monitoring. Digital platforms (non-invasive): Commercial devices to measure vital signs (blood pressure, daily weight, heart rate, oxygen saturation, ECG) and assessment of HF symptoms (app-based surveys, medication adherence).…”

Section: Introductionmentioning

confidence: 99%

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An Era of Digital Healthcare—A Comprehensive Review of Sensor Technologies and Telehealth Advancements in Chronic Heart Failure Management

Manavi,

Zafar,

Sharif

2024

Sensors

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Heart failure (HF) is a multi-faceted, complex clinical syndrome characterized by significant morbidity, high mortality rate, reduced quality of life, and rapidly increasing healthcare costs. A larger proportion of these costs comprise both ambulatory and emergency department visits, as well as hospital admissions. Despite the methods used by telehealth (TH) to improve self-care and quality of life, patient outcomes remain poor. HF management is associated with numerous challenges, such as conflicting evidence from clinical trials, heterogeneity of TH devices, variability in patient inclusion and exclusion criteria, and discrepancies between healthcare systems. A growing body of evidence suggests there is an unmet need for increased individualization of in-hospital management, continuous remote monitoring of patients pre and post-hospital admission, and continuation of treatment post-discharge in order to reduce re-hospitalizations and improve long-term outcomes. This review summarizes the current state-of-the-art for HF and associated novel technologies and advancements in the most frequently used types of TH (implantable sensors), categorizing devices in their preclinical and clinical stage, bench-to-bedside implementation challenges, and future perspectives on remote HF management to improve long-term outcomes of HF patients. The Review also highlights recent advancements in non-invasive remote monitoring technologies demonstrated by a few pilot observational prospective cohort studies.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

An Era of Digital Healthcare—A Comprehensive Review of Sensor Technologies and Telehealth Advancements in Chronic Heart Failure Management

Manavi,

Zafar,

Sharif

2024

Sensors

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“…For clinicians, early detection of worsening heart failure is an important issue for disease management. Home-care strategies using telemonitoring through electronic implantable cardiac devices to measure haemodynamics are also being tried (Karamichalakis et al, 2018). Detecting deterioration in heart failure is difficult for both patients and nurses.…”

Section: Introductionmentioning

confidence: 99%

How visiting nurses detect symptoms of disease progression in patients with chronic heart failure

Taniguchi

Okada

Seto

et al. 2020

International Journal of Qualitative Studies on Health and Well

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Purpose: Chronic heart failure patients are often rehospitalized because they fail to seek appropriate, timely care. However, both patients and nurses experience difficulties in detecting signs of heart failure exacerbation. We aimed to qualitatively investigate how visiting nurses detect symptoms of disease progression in chronic heart failure patients in their homes. Methods: Participants were three experienced home-visit chronic heart failure nurses who completed one-to-one interviews. Data were analysed using the qualitative synthesis method (KJ method). Results: Six themes were identified that reflected detection of disease exacerbation and nursing support to prevent disease progression: difficulty of judging deterioration in patients with comorbidities; ascertaining conditions needing immediate intervention; detection of illness progression from changes in the patient's appearance; inferring instability in physical condition from patients' concerns and questions; arranging to ensure continued management of the patient post discharge; and instructing patients to ensure they never return to their old habits. Conclusions:The findings indicate that nurses experience challenges in detecting illness progression and judging when outpatient or hospital care is needed. However, nurses use a range of signs and symptoms to determine deterioration. Home-visit nurses thus play a crucial role in the post-hospital care of chronic heart failure patients. ARTICLE HISTORY

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New evidence supporting haemodynamics-guided remote management of congestion in heart failure

Pedicino

Volpe

2023

European Heart Journal

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Implantable devices to monitor patients with heart failure

Cited by 5 publications

References 58 publications

An Era of Digital Healthcare—A Comprehensive Review of Sensor Technologies and Telehealth Advancements in Chronic Heart Failure Management

An Era of Digital Healthcare—A Comprehensive Review of Sensor Technologies and Telehealth Advancements in Chronic Heart Failure Management

How visiting nurses detect symptoms of disease progression in patients with chronic heart failure

New evidence supporting haemodynamics-guided remote management of congestion in heart failure

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