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Related Concept Videos

Pulse rhythm01:30

Pulse rhythm

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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.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
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Holter Monitor: 24-Hour Monitoring01:23

Holter Monitor: 24-Hour Monitoring

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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...
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Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

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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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Heart Failure III: Clinical Manifestations01:26

Heart Failure III: Clinical Manifestations

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Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
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Heart Failure VII: Nursing Interventions01:30

Heart Failure VII: Nursing Interventions

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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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Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

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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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Related Experiment Video

Updated: Jul 13, 2025

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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Characteristics Associated With Telemonitoring Use Among Patients With Chronic Heart Failure: Retrospective Cohort

Stefan L Auener1, Simone A van Dulmen1, Femke Atsma1

  • 1IQ Healthcare, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, Netherlands.

Journal of Medical Internet Research
|October 18, 2023
PubMed
Summary

Telemonitoring use for heart failure (HF) was limited in Dutch hospitals in 2019, with lower adoption among older patients. Further research is needed to understand and improve telemonitoring accessibility for all patient groups.

Keywords:
Netherlandschronic heart failurediseaseeHealthheartheart failurehospitalpatientpreventionremote monitoringself-managementtelemonitoringtreatmentutilization

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Area of Science:

  • Digital Health
  • Cardiology
  • Health Services Research

Background:

  • Chronic heart failure (HF) affects over 64 million globally, posing a significant burden.
  • Telemonitoring offers potential to improve self-management and reduce healthcare utilization in HF patients.
  • Understanding telemonitoring adoption and patient associations is crucial for effective implementation strategies.

Purpose of the Study:

  • To investigate the adoption of telemonitoring for HF among hospitals in the Netherlands.
  • To identify patient characteristics associated with telemonitoring use in HF care.

Main Methods:

  • Retrospective cohort study utilizing Dutch healthcare claims data from 2019.
  • Descriptive analyses assessed telemonitoring adoption rates across hospitals.
  • Logistic regression identified patient factors associated with telemonitoring utilization.

Main Results:

  • Only 37% of hospitals had telemonitoring claims; 20% had over 10 patients using it.
  • Male patients and those with prior HF hospitalization were more likely to use telemonitoring.
  • Telemonitoring use decreased with age, with lowest use in patients over 80.

Conclusions:

  • Reimbursed telemonitoring for HF was limited in 2019, showing significant hospital variation.
  • Adoption challenges exist at both hospital-wide diffusion and intra-hospital scaling levels.
  • Older, female, and first-time HF patients were less likely to benefit, necessitating further investigation into underlying mechanisms.