A critical review on telemonitoring in heart failure
| Autor: | Jean-Luc Vachierys, Johan Vanhaecke, Viviane M. Conraads, Luc Missault, Sandrine Huez, Walter Van Mieghem, Wilfried Mullens, Pierre Troisfontaine, Eric Nellessens, David F.J. Raes, Béatrice Peperstraete, Anne-Catherine Pouleur, Walter Droogne, Philippe Blouardo, Olivier Gurné |
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| Přispěvatelé: | Belgian Working Grp Heart Failure |
| Rok vydání: | 2012 |
| Předmět: |
Telemonitoring
medicine.medical_specialty Population heart failure law.invention Meta-Analysis as Topic Randomized controlled trial law Multidisciplinary approach medicine Humans In patient Intensive care medicine education Monitoring Physiologic Randomized Controlled Trials as Topic Heart Failure education.field_of_study Modalities Modality (human–computer interaction) business.industry General Medicine medicine.disease Telemedicine Treatment Outcome Heart failure Usual care Human medicine Cardiology and Cardiovascular Medicine business |
| Zdroj: | Acta cardiologica |
| ISSN: | 0373-7934 0001-5385 |
| DOI: | 10.1080/ac.67.4.2170685 |
| Popis: | Morbidity and mortality remain high in heart failure despite considerable progress achieved with medical therapy and electrical devices. A multidisciplinary approach is actually strongly recommended. In order to provide optimal care to the ever-growing population of patients with heart failure, telemonitoring has been proposed as a modality to improve usual care. The aim of this review is to provide an overview of the existing evidence on telemonitoring in HF. Despite two major meta-analyses with favourable results, two recent, large, multicentre, randomized controlled trials, one with a sophisticated technical remote telemonitoring approach (TIM-HF) in stable chronic HF and the other with a comprehensive telephone-based interactive voice-response monitoring (Tele-HF) in patients recently hospitalized for heart failure, have been performed and both failed to demonstrate a clinical benefit for telemonitoring. Newer technologies or other modalities, such as collaboration between a general practitioner and a heart failure clinic facilitated by telemonitoring should be further evaluated. Dedicated telemonitoring for heart failure may be a practical adjunct in selective centres and patients, on top of usual care, including education and a multidisciplinary approach. However, prior to being accepted as a standard of care, more evidence from large, randomized clinical trials is required. ispartof: Acta Cardiologica vol:67 issue:4 pages:439-444 ispartof: location:England status: published |
| Databáze: | OpenAIRE |
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