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Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
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Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
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Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
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Remote Supervision to Decrease Hospitalization Rate (RESULT) study in patients with implanted

Mateusz Tajstra1, Adam Sokal2, Elżbieta Gadula-Gacek1

  • 13rd Department of Cardiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland.

Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology
|April 19, 2020
PubMed
Summary
This summary is machine-generated.

Remote monitoring for heart failure patients with implantable devices significantly reduced hospitalizations and improved outcomes. This approach enhances patient care by facilitating timely interventions and reducing the composite endpoint of death or cardiovascular hospitalization.

Keywords:
Cardiac resynchronization therapyHeart failureHospitalizationImplantable cardioverter-defibrillatorRandomized trialRemote monitoring

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Area of Science:

  • Cardiology
  • Digital Health
  • Heart Failure Management

Background:

  • Growing prevalence of heart failure (HF) patients with implantable cardiac electronic devices.
  • Remote monitoring (RC) shows potential for improving HF outcomes through enhanced patient-healthcare interactions.
  • Previous studies on remote monitoring efficacy yielded mixed results, highlighting the importance of daily transmission verification.

Purpose of the Study:

  • To evaluate the impact of remote monitoring on clinical outcomes in HF patients with implantable cardioverter-defibrillators (ICD) or cardiac resynchronization therapy-defibrillators (CRT-D).
  • To assess the effectiveness of RC compared to standard in-office follow-ups in a real-world setting.

Main Methods:

  • Prospective, single-centre, randomized controlled trial (RESULT study).
  • 600 HF patients with de novo ICD or CRT-D implantation randomized to RC or standard care (SC).
  • Primary endpoint: composite of all-cause death and cardiovascular hospitalization within 12 months.

Main Results:

  • The primary endpoint occurred in 39.5% of patients in the RC arm versus 48.5% in the SC arm (P=0.048).
  • All-cause mortality rates were similar between groups (6% vs. 6%, P=0.9).
  • Hospitalization rates due to cardiovascular reasons were significantly lower in the RC arm (37.1% vs. 45.5%, P=0.045).

Conclusions:

  • Remote monitoring for HF patients with ICD/CRT-D significantly reduced the composite endpoint rate.
  • The reduction in the primary endpoint was primarily driven by a lower rate of cardiovascular hospitalizations in the remote monitoring group.
  • The study supports the efficacy of remote monitoring in improving clinical outcomes for HF patients with implanted devices.