Integrating device monitoring into the infrastructure and workflow of routine practice

Monitoring strategies for patients with heart failure vary. Physical assessment and patient reporting are often unreliable and inconsistent. Continuous physiologic information from implanted devices identifies the progression to congestion in patients with chronic heart failure earlier in the process than traditional methods. Common themes of a successful system will require a means to provide device-based data to interested providers who then can interpret the information in the context of either remote or face-to-face clinical assessment.