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Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients
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Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients

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Beyond the stethoscope: managing ambulatory heart failure during the COVID-19 pandemic

Andrew S Oseran1, Maxwell E Afari2, Conor D Barrett1

  • 1Cardiology Division, Department of Medicine, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA.

ESC Heart Failure
|January 28, 2021
PubMed

Insights

Telemedicine and remote monitoring offer safe strategies for managing heart failure patients during the COVID-19 pandemic. These approaches facilitate virtual care and utilize existing sensors for effective patient management.

Area of Science:

  • Cardiology
  • Public Health
  • Health Informatics

Background:

  • The COVID-19 pandemic necessitates changes in healthcare delivery, emphasizing social distancing.
  • Heart failure patients are a vulnerable population with high healthcare utilization, facing increased risks during pandemics.
  • Managing heart failure patients remotely presents unique challenges due to their complex needs and resource intensity.

Purpose of the Study:

  • To review telemedicine and remote monitoring strategies for heart failure patients during the COVID-19 pandemic.
  • To provide a framework for healthcare providers to manage this population remotely.
  • To assess the safety and potential effectiveness of these strategies.

Main Methods:

  • Review of existing data on telemedicine and remote monitoring for heart failure.
  • Framework development including pre-visit planning, virtual clinic visits, and remote sensor utilization.
  • Consideration of technologies like CardioMEMS, Optivol, and HeartLogic.

Main Results:

  • Telemedicine and remote monitoring strategies are emerging as crucial tools for heart failure management during the pandemic.
  • The described framework includes pre-visit contact, virtual visits with video exams, and remote sensor data.
  • Current data suggest these strategies are generally safe for heart failure patients.

Conclusions:

  • Telemedicine and remote monitoring are vital for managing heart failure patients amidst the COVID-19 pandemic.
  • These remote care strategies appear safe, but further research is needed to confirm their effectiveness.
  • Adapting care delivery through technology is essential for vulnerable patient populations during public health crises.

Keywords:
AmbulatoryHeart failureRemote monitoringTelehealthTelemedicine

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