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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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Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
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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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The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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Telemonitoring in Heart Failure Management.

Ivo Planinc1, Davor Milicic1, Maja Cikes1

  • 1Department of Cardiovascular Diseases, University of Zagreb School of Medicine and University Hospital Centre Zagreb Zagreb, Croatia.

Cardiac Failure Review
|May 8, 2020
PubMed
Summary

Telemonitoring (TM) helps manage heart failure (HF) by improving patient care and survival. However, challenges like device and system variability create conflicting evidence on its effectiveness.

Keywords:
Telemonitoringcardiac implantable electronic deviceheart failureleft ventricular assist devicepulmonary artery pressure monitoringremote patient monitoringstructured telephone support

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Area of Science:

  • Cardiology and Health Informatics
  • Focuses on the intersection of cardiovascular disease management and digital health technologies.

Background:

  • Heart failure (HF) management is complex, with telemonitoring (TM) emerging as a key strategy.
  • Existing TM options for HF patients face challenges in achieving consistent positive outcomes.
  • Heterogeneity in TM devices, patient cohorts, and healthcare systems contributes to conflicting clinical trial data.

Purpose of the Study:

  • To provide a foundational understanding of telemonitoring (TM) principles in heart failure (HF) care.
  • To review recent advancements in commonly used TM technologies for HF patients.
  • To critically examine the existing evidence supporting the use of TM in HF management.

Main Methods:

  • Review of basic telemonitoring concepts relevant to heart failure.
  • Analysis of recent technological advancements in prevalent TM devices.
  • Synthesis of clinical trial data and evidence regarding TM efficacy in HF.

Main Results:

  • Telemonitoring offers potential benefits for HF management, including improved self-care and survival.
  • Significant variability exists across TM devices, patient populations, and healthcare settings.
  • Current evidence on TM effectiveness in HF is mixed, highlighting the need for further research.

Conclusions:

  • Telemonitoring shows promise for enhancing heart failure care, patient education, and adherence.
  • Addressing heterogeneity in TM implementation is crucial for optimizing outcomes.
  • Further standardized research is needed to clarify the definitive role and benefits of TM in heart failure.