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Telemonitoring heart failure

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https://www.readbyqxmd.com/read/27892420/ehealth-in-cardiovascular-medicine-a-clinical-update
#1
Hugo Saner, Enno van der Velde
Demographic changes, progress in medicine technology and regional problems in providing healthcare to low density populations are posing great challenges to our healthcare systems. Rapid progress in computer sciences and information technologies have a great impact on the way healthcare will be delivered in the near future. This article describes opportunities and challenges of eHealth and telemedicine in the framework of our health systems and, in particular, in the context of today's cardiology services. The most promising applications of eHealth and telemedicine include: (a) prevention and lifestyle interventions; (b) chronic disease management including hypertension, diabetes and heart failure; (c) arrhythmia detection including early detection of atrial fibrillation and telemonitoring of devices such as pacemaker, internal cardioverter defibrillators and implantable rhythm monitoring devices; (d) telerehabilitation...
October 2016: European Journal of Preventive Cardiology
https://www.readbyqxmd.com/read/27864319/structured-telephone-support-or-non-invasive-telemonitoring-for-patients-with-heart-failure
#2
EDITORIAL
Sally C Inglis, Robyn A Clark, Riet Dierckx, David Prieto-Merino, John G F Cleland
No abstract text is available yet for this article.
November 18, 2016: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/27844194/-implantable-sensors-for-outpatient-assessment-of-ventricular-filling-pressure-in-advanced-heart-failure-which-telemonitoring-design-is-optimal
#3
E Herrmann, S Fichtlscherer, S H Hohnloser, A M Zeiher, B Aßmus
INTRODUCTION: Patients with advanced heart failure suffer from frequent hospitalizations. Non-invasive hemodynamic telemonitoring for assessment of ventricular filling pressure has been shown to reduce hospitalizations. We report on the right ventricular (RVP), the pulmonary artery (PAP) and the left atrial pressure (LAP) sensor for non-invasive assessment of the ventricular filling pressure. METHODS: A literature search concerning the available implantable pressure sensors for noninvasive haemodynamic telemonitoring in patients with advanced heart failure was performed...
November 14, 2016: Herzschrittmachertherapie & Elektrophysiologie
https://www.readbyqxmd.com/read/27818309/telemonitoring-adherence-to-medications-in-heart-failure-patients-team-hf-a-pilot-randomized-clinical-trial
#4
Benjamin D Gallagher, Nathalie Moise, Mytra Haerizadeh, Siqin Ye, Vivian Medina, Ian M Kronish
BACKGROUND: Medication nonadherence contributes to hospitalizations in recently discharged patients with heart failure (HF). We aimed to test the feasibility of telemonitoring medication adherence in patients with HF. METHODS AND RESULTS: We randomized 40 patients (1:1) hospitalized for HF to 30 days of loop diuretic adherence monitoring with telephonic support or to passive adherence monitoring alone. Eighty-three percent of eligible patients agreed to participate...
November 3, 2016: Journal of Cardiac Failure
https://www.readbyqxmd.com/read/27729027/what-is-the-impact-of-systems-of-care-for-heart-failure-on-patients-diagnosed-with-heart-failure-a-systematic-review
#5
Andrea Driscoll, Sharon Meagher, Rhoda Kennedy, Melanie Hay, Jayant Banerji, Donald Campbell, Nicholas Cox, Debra Gascard, David Hare, Karen Page, Voltaire Nadurata, Rhonda Sanders, Harry Patsamanis
BACKGROUND: Hospital admissions for heart failure are predicted to rise substantially over the next decade placing increasing pressure on the health care system. There is an urgent need to redesign systems of care for heart failure to improve evidence-based practice and create seamless transitions through the continuum of care. The aim of the review was to examine systems of care for heart failure that reduce hospital readmissions and/or mortality. METHOD: Electronic databases searched were: Ovid MEDLINE, EMBASE, CINAHL, grey literature, reviewed bibliographies and Cochrane Central Register of Controlled Trials for randomised controlled trials, non-randomised trials and cohort studies from 1(st) January 2008 to 4(th) August 2015...
October 11, 2016: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/27532464/heart-failure-patients-experiences-of-mobile-phone-based-telemonitoring-in-self-care-a-qualitative-systematic-review-protocol
#6
Asta Heikkilä, Virpi Maijala
The objective of this systematic review is to explore heart failure patients' experiences of mobile-phone based telemonitoring in self-care.
May 2016: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/27451860/use-of-digital-health-kits-to-reduce-readmission-after-cardiac-surgery
#7
Imani McElroy, Sohail Sareh, Allen Zhu, Gabrielle Miranda, Hoover Wu, Michelle Nguyen, Richard Shemin, Peyman Benharash
BACKGROUND: Unintended rehospitalizations after surgical procedures represent a large percentage of readmissions and have been associated with increased morbidity and cost of care. Beginning in 2017, Medicare will expand diagnostic categories subject to financial penalties for excess postoperative readmissions to include coronary revascularization procedures. Arrhythmias and pulmonary complications comprise the largest categories for readmission after cardiac surgery. Technologic advances in remote monitoring have led to the use of web-based digital health kits (DHK) aimed at reducing readmissions and improving postoperative outcomes...
July 2016: Journal of Surgical Research
https://www.readbyqxmd.com/read/27450573/quality-of-life-in-patients-receiving-telemedicine-enhanced-chronic-heart-failure-disease-management-a-meta-analysis
#8
Liam Knox, Rachel J Rahman, Chris Beedie
BACKGROUND: Previous reviews have investigated the effectiveness of telemedicine in the treatment of heart failure (HF). Dependent variables have included hospitalisations, mortality rates, disease knowledge and health costs. Few reviews, however, have examined the variable of health-related quality of life (QoL). METHODS: Randomised controlled trials comparing the delivery methods of any form of telemedicine with usual care for the provision of HF disease-management were identified via searches of all relevant databases and reference lists...
July 22, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27419336/no-reduction-in-readmissions-with-telemonitoring-coaching-for-patients-with-heart-failure
#9
Nita Shrikant Kulkarni
No abstract text is available yet for this article.
July 15, 2016: American Family Physician
https://www.readbyqxmd.com/read/27390963/telerehabilitation-in-heart-failure-patients-the-evidence-and-the-pitfalls
#10
REVIEW
Ewa Piotrowicz, Massimo F Piepoli, Tiny Jaarsma, Ekaterini Lambrinou, Andrew J S Coats, Jean-Paul Schmid, Ugo Corrà, Piergiuseppe Agostoni, Kenneth Dickstein, Petar M Seferović, Stamatis Adamopoulos, Piotr P Ponikowski
Accessibility to the available traditional forms of cardiac rehabilitation programs in heart failure patients is not adequate and adherence to the programs remains unsatisfactory. The home-based telerehabilitation model has been proposed as a promising new option to improve this situation. This paper's aims are to discuss the tools available for telemonitoring, and describing their characteristics, applicability, and effectiveness in providing optimal long term management for heart failure patients who are unable to attend traditional cardiac rehabilitation programs...
October 1, 2016: International Journal of Cardiology
https://www.readbyqxmd.com/read/27371720/avoiding-non-responders-to-cardiac-resynchronization-therapy-a-practical-guide
#11
Claude Daubert, Nathalie Behar, Raphaël P Martins, Philippe Mabo, Christophe Leclercq
Over two decades after the introduction of cardiac resynchronization therapy (CRT) into clinical practice, ∼30% of candidates continue to fail to respond to this highly effective treatment of drug-refractory heart failure (HF). Since the causes of this non-response (NR) are multifactorial, it will require multidisciplinary efforts to overcome. Progress has, thus far, been slowed by several factors, ranging from a lack of consensus regarding the definition of NR and technological limitations to the delivery of therapy...
July 1, 2016: European Heart Journal
https://www.readbyqxmd.com/read/27363822/a-substudy-evaluating-treatment-intensification-on-medication-adherence-among-hypertensive-patients-receiving-home-blood-pressure-telemonitoring-and-pharmacist-management
#12
P A Pawloski, S E Asche, N K Trower, A R Bergdall, S P Dehmer, M V Maciosek, R A Nyboer, P J O'Connor, J M Sperl-Hillen, B B Green, K L Margolis
WHAT IS KNOWN AND OBJECTIVE: Hypertension is a leading cause of death and major contributor to heart attacks, strokes, heart and kidney failure. Antihypertensive (HTN medication) non-adherence contributes to uncontrolled hypertension. Effective initiatives to improve uncontrolled hypertension include a team-based approach with home blood pressure (BP) monitoring. Our study objective was to evaluate whether objectively measured medication adherence was influenced by home BP telemonitoring and pharmacist management...
October 2016: Journal of Clinical Pharmacy and Therapeutics
https://www.readbyqxmd.com/read/27343060/a-qualitative-analysis-to-optimize-a-telemonitoring-intervention-for-heart-failure-patients-from-disparity-communities
#13
R Pekmezaris, R M Schwartz, T N Taylor, P DiMarzio, C N Nouryan, L Murray, G McKenzie, D Ahern, S Castillo, K Pecinka, L Bauer, T Orona, A N Makaryus
BACKGROUND: The use of telemonitoring is a promising approach to optimizing outcomes in the treatment of heart failure (HF) for patients living in the community. HF telemonitoring interventions, however, have not been tested for use with individuals residing in disparity communities. METHODS: The current study describes the results of a community based participatory research approach to adapting a telemonitoring HF intervention so that it is acceptable and feasible for use with a lower-income, Black and Hispanic patient population...
June 24, 2016: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/27333986/-differences-between-german-and-turkish-speaking-participants-in-a-chronic-heart-failure-management-program
#14
N Ernstmann, U Karbach
BACKGROUND: German and Turkish-speaking patients were recruited for a chronic heart failure management program. So far little is known about the special needs and characteristics of Turkish-speaking patients with chronic heart failure; therefore, the aim of this study was to examine sociodemographic and illness-related differences between German and Turkish-speaking patients with chronic heart failure. METHODS: German and Turkish-speaking patients suffering from chronic heart failure and insured with the AOK Rheinland/Hamburg or the BARMER GEK health insurance companies and living in Cologne, Germany, were enrolled...
June 22, 2016: Herz
https://www.readbyqxmd.com/read/27311090/-anmco-sic-sit-consensus-document-the-future-of-telemedicine-in-heart-failure
#15
Andrea Di Lenarda, Giancarlo Casolo, Michele Massimo Gulizia, Nadia Aspromonte, Simonetta Scalvini, Andrea Mortara, Gianfranco Alunni, Renato Pietro Ricci, Roberto Mantovan, Giancarmine Russo, Gian Franco Gensini, Francesco Romeo
Telemedicine applied to heart failure patients is a tool for recording, remote transmission, storage and interpretation of cardiocirculatory parameters and/or diagnostic images, useful, as emphasized by the latest guidelines, to allow for intensive home monitoring in patients with advanced heart failure or during the vulnerable post-acute phase to improve the prognosis and quality of life for patients.Recently, several meta-analyses have shown that the patterns of care supported by telemedicine are not only effective, but also economically advantageous...
June 2016: Giornale Italiano di Cardiologia
https://www.readbyqxmd.com/read/27291327/telemonitoring-in-heart-failure-patients-treated-by-cardiac-resynchronisation-therapy-with-defibrillator-crt-d-the-telecart-study
#16
C Sardu, M Santamaria, M R Rizzo, M Barbieri, M di Marino, G Paolisso, G Santulli, R Marfella
AIM: Telemonitoring (TM) is a safe and efficient monitoring system for internal cardioverter defibrillator device (ICD) recipients. TM has been used to track info on the clinical status of heart failure patients treated by ICD and/or cardiac resynchronisation therapy defibrillator (CRT-D). The aim of this study was to investigate the impact of TM on clinical outcomes in a population of CRT-D patients with heart failure. METHODS: In a multicentre, randomised study, patients with chronic heart failure, New York Heart Association (NYHA) functional class II or III, left bundle branch block, severe left ventricle ejection fraction reduction (LVEF < 35%) have been identified and screened...
July 2016: International Journal of Clinical Practice
https://www.readbyqxmd.com/read/27285946/health-economic-impact-of-a-pulmonary-artery-pressure-sensor-for-heart-failure-telemonitoring-a-dynamic-simulation
#17
Peter L Kolominsky-Rabas, Christine Kriza, Anatoli Djanatliev, Florian Meier, Steffen Uffenorde, Jannis Radeleff, Philipp Baumgärtel, Ines Leb, Martin Sedlmayr, Sebastian Gaiser, Philip B Adamson
AIMS: Recently, a permanently implantable wireless system, designed to monitor and manage pulmonary artery (PA) pressures remotely, demonstrated significant reductions in heart failure (HF) hospitalizations in high-risk symptomatic patients, regardless of ejection fraction. The objectives of this study were to simulate the estimated clinical and economic impact in Germany of generalized use of this PA pressure monitoring system considering reductions of HF hospitalizations and the improvement in Quality of Life...
June 10, 2016: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/27277940/should-we-embed-randomized-controlled-trials-within-action-research-arguing-from-a-case-study-of-telemonitoring
#18
Karen Day, Timothy W Kenealy, Nicolette F Sheridan
BACKGROUND: Action research (AR) and randomized controlled trials (RCTs) are usually considered to be theoretically and practically incompatible. However, we argue that their respective strengths and weaknesses can be complementary. We illustrate our argument from a recent study assessing the effect of telemonitoring on health-related quality of life, self-care, hospital use, costs and the experiences of patients, informal carers and health care professionals in two urban hospital services and one remote rural primary care service in New Zealand...
2016: BMC Medical Research Methodology
https://www.readbyqxmd.com/read/27271001/-telemedicine-assisted-treatment-of-a-76-year-old-man-with-heart-failure
#19
B Bellmann, C Gemein, P Schauerte
The case of a patient with dilated cardiomyopathy and severely impaired left ventricular function is reported. With existing complete left bundle branch block and the patient being on optimal medical therapy, a cardiac resynchronization device with an integrated defibrillator was implanted and the patient was included in our telemonitoring program. During monitoring, an increase in ventricular premature beats with a decrease in biventricular pacing percentage was noticed. Consequently, radiofrequency ablation of the ventricular premature beats which originated in the left ventricle was performed...
September 2016: Der Internist
https://www.readbyqxmd.com/read/27248162/health-economic-impact-of-a-pulmonary-artery-pressure-sensor-for-heart-failure-telemonitoring-a-dynamic-simulation
#20
Peter L Kolominsky-Rabas, Anatoli Djanatliev, Florian Meier, Steffen Uffenorde, Jannis Radeleff, Philipp Baumgärtel, Ines Leb, Martin Sedlmayr, Sebastian Gaiser, Philip B Adamson
AIMS: Recently, a permanently implantable wireless system, designed to monitor and manage pulmonary artery (PA) pressures remotely, demonstrated significant reductions in heart failure (HF) hospitalizations in high-risk symptomatic patients, regardless of ejection fraction. The objectives of this study were to simulate the estimated clinical and economic impact in Germany of generalized use of this PA pressure monitoring system considering reductions of HF hospitalizations and the improvement in Quality of Life...
June 1, 2016: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
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