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Remote Hemodynamic Monitoring in Heart Failure Management: A Comprehensive Review of Recent Advances and Clinical
Carmen M Galvez-Sánchez1,2, Julio A Camacho-Ruiz1,3, Lorys Castelli4
1Department of Personality, Evaluation and Psychological Treatment, Faculty of Psychology and Speech Therapy, University of Murcia, Building 31, 30100 Murcia, Spain.
Remote hemodynamic monitoring aids early detection of heart failure deterioration, reducing hospitalizations. Addressing challenges like adherence and data management is key to its effective use in personalized patient care.
Area of Science:
- Cardiology
- Biomedical Engineering
- Health Informatics
Background:
- Heart Failure (HF) is a major cause of hospitalization and mortality globally.
- Current monitoring methods often fail to detect early physiological decline, leading to high readmission rates.
- Remote hemodynamic monitoring offers a potential solution for proactive HF management.
Purpose of the Study:
- To review the clinical utility of remote hemodynamic monitoring in Heart Failure (HF).
- To identify implementation challenges of remote hemodynamic monitoring in HF.
- To highlight its role in improving patient outcomes and guiding precision care.
Main Methods:
- A comprehensive narrative review of peer-reviewed English-language studies.
- Searches conducted in PubMed, Scopus, and Web of Science databases.
- Focus on studies published within the last ten years.
Main Results:
- Elevated hemodynamic pressures precede HF symptoms, making monitoring crucial for preventing readmissions.
- Remote monitoring provides continuous, individualized assessment, potentially reducing hospitalizations.
- Challenges include invasiveness, patient adherence, comorbidity management, data interpretation, and cost-effectiveness.
Conclusions:
- Remote hemodynamic monitoring facilitates early detection of HF deterioration for timely interventions.
- This approach supports personalized, data-driven care, contrasting with traditional methods.
- Integrating biopsychosocial, gender, and intersectional perspectives enhances precision medicine and equity in HF care.
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