Related Experiment Video
Updated: Aug 24, 2025
04:24
A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
11.7K
Remote Patient Monitoring in Heart Failure: Factors for Clinical Efficacy.
Ankit Bhatia1,2, Thomas M Maddox1,2
1Division of Cardiology, Washington University School of Medicine, St. Louis, MO, USA.
International Journal of Heart Failure
|October 20, 2022
Summary
Remote patient monitoring (RPM) can improve outpatient heart failure (HF) management by addressing gaps in care. This review outlines a framework for evaluating RPM and identifies features crucial for clinical efficacy in HF patients.
Area of Science:
- Cardiology
- Digital Health
- Health Services Research
Background:
- Heart failure (HF) management in outpatient settings faces challenges, including suboptimal evidence-based therapy delivery and difficulties in predicting and managing decompensation.
- Despite advances, HF remains a major cause of adverse clinical outcomes and high healthcare utilization.
- Remote patient monitoring (RPM) is gaining traction as a potential solution to improve HF care delivery.
Purpose of the Study:
- To establish a framework for evaluating the components of RPM systems in heart failure management.
- To review existing evidence on the efficacy of RPM in managing heart failure.
- To identify key RPM features associated with clinical effectiveness and explore emerging digital tools.
Main Methods:
- A comprehensive review of the existing literature on RPM in heart failure management.
- Development of a framework to assess RPM based on data collection, transmission, analysis, presentation, and clinical action.
- Identification of RPM characteristics linked to improved clinical outcomes.
Main Results:
- The review proposes a structured framework for evaluating RPM systems in HF.
- Specific RPM features associated with clinical efficacy have been identified.
- Emerging digital health tools show promise for enhancing RPM in HF care.
Conclusions:
- RPM offers a promising approach to overcome current limitations in outpatient heart failure management.
- A systematic evaluation framework is essential for optimizing RPM implementation and effectiveness.
- Further development and integration of digital tools are needed to fully realize the potential of RPM in improving HF outcomes.
Related Concept Videos
01:30Pulse rhythm
898
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.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
898
01:30Heart Failure VII: Nursing Interventions
131
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,...
131
01:23Holter Monitor: 24-Hour Monitoring
193
Holter monitoring is a continuous electrocardiography (ECG) recording that tracks the heart's electrical activity over an extended period, generally 24 to 48 hours. This noninvasive diagnostic tool detects irregular heart rhythms that may not be captured during a standard ECG performed in a clinical setting.DeviceThe Holter monitor is a portable, small device connected to several electrodes on the patient's chest. These electrodes detect the heart's electrical signals and transmit them to the...
193
01:22Heart Failure VI: Adjunct Therapies
25
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.
25
01:30Heart Failure V: Medical Management
19
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...
19
01:20Rheumatic Heart Disease IV: Nursing Management
33
AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
33