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Published in: Heart Failure Reviews 1/2015

01-01-2015

Telemonitoring in heart failure: Big Brother watching over you

Authors: R. Dierckx, P. Pellicori, J. G. F. Cleland, A. L. Clark

Published in: Heart Failure Reviews | Issue 1/2015

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Abstract

Heart failure (HF) is a leading cause of hospitalisations in older people. Several strategies, supported by novel technologies, are now available to monitor patients’ health from a distance. Although studies have suggested that remote monitoring may reduce HF hospitalisations and mortality, the study of different patient populations, the use of different monitoring technologies and the use of different endpoints limit the generalisability of the results of the clinical trials reported, so far. In this review, we discuss the existing home monitoring modalities, relevant trials and focus on future directions for telemonitoring.
Literature
1.
go back to reference Stewart S et al (2001) More ‘malignant’ than cancer? Five-year survival following a first admission for heart failure. Eur J Heart Fail 3(3):315–322PubMedCrossRef Stewart S et al (2001) More ‘malignant’ than cancer? Five-year survival following a first admission for heart failure. Eur J Heart Fail 3(3):315–322PubMedCrossRef
2.
go back to reference McMurray JJ et al (2012) ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: the Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC. Eur J Heart Fail 14(8):803–869PubMedCrossRef McMurray JJ et al (2012) ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: the Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC. Eur J Heart Fail 14(8):803–869PubMedCrossRef
3.
go back to reference Cleland JG et al (2003) The EuroHeart Failure survey programme—a survey on the quality of care among patients with heart failure in Europe. Part 1: patient characteristics and diagnosis. Eur Heart J 24(5):442–463PubMedCrossRef Cleland JG et al (2003) The EuroHeart Failure survey programme—a survey on the quality of care among patients with heart failure in Europe. Part 1: patient characteristics and diagnosis. Eur Heart J 24(5):442–463PubMedCrossRef
5.
go back to reference Heidenreich PA et al (2013) Forecasting the impact of heart failure in the United States: a policy statement from the American Heart Association. Circ Heart Fail 6(3):606–619PubMedCentralPubMedCrossRef Heidenreich PA et al (2013) Forecasting the impact of heart failure in the United States: a policy statement from the American Heart Association. Circ Heart Fail 6(3):606–619PubMedCentralPubMedCrossRef
6.
go back to reference Stewart S et al (2002) The current cost of heart failure to the National Health Service in the UK. Eur J Heart Fail 4(3):361–371PubMedCrossRef Stewart S et al (2002) The current cost of heart failure to the National Health Service in the UK. Eur J Heart Fail 4(3):361–371PubMedCrossRef
7.
go back to reference Lindenfeld J et al (2010) HFSA 2010 comprehensive heart failure practice guideline. J Card Fail 16(6):e1–e194PubMedCrossRef Lindenfeld J et al (2010) HFSA 2010 comprehensive heart failure practice guideline. J Card Fail 16(6):e1–e194PubMedCrossRef
8.
go back to reference Goldberg LR et al (2003) Randomized trial of a daily electronic home monitoring system in patients with advanced heart failure: the Weight Monitoring in Heart Failure (WHARF) trial. Am Heart J 146(4):705–712PubMedCrossRef Goldberg LR et al (2003) Randomized trial of a daily electronic home monitoring system in patients with advanced heart failure: the Weight Monitoring in Heart Failure (WHARF) trial. Am Heart J 146(4):705–712PubMedCrossRef
9.
go back to reference Landolina M et al (2012) Remote monitoring reduces healthcare use and improves quality of care in heart failure patients with implantable defibrillators: the evolution of management strategies of heart failure patients with implantable defibrillators (EVOLVO) study. Circulation 125(24):2985–2992PubMedCrossRef Landolina M et al (2012) Remote monitoring reduces healthcare use and improves quality of care in heart failure patients with implantable defibrillators: the evolution of management strategies of heart failure patients with implantable defibrillators (EVOLVO) study. Circulation 125(24):2985–2992PubMedCrossRef
10.
go back to reference Inglis SC et al (2011) Which components of heart failure programmes are effective? A systematic review and meta-analysis of the outcomes of structured telephone support or telemonitoring as the primary component of chronic heart failure management in 8323 patients: abridged Cochrane Review. Eur J Heart Fail 13(9):1028–1040PubMedCrossRef Inglis SC et al (2011) Which components of heart failure programmes are effective? A systematic review and meta-analysis of the outcomes of structured telephone support or telemonitoring as the primary component of chronic heart failure management in 8323 patients: abridged Cochrane Review. Eur J Heart Fail 13(9):1028–1040PubMedCrossRef
11.
go back to reference Cleland JG et al (2005) Noninvasive home telemonitoring for patients with heart failure at high risk of recurrent admission and death: the Trans-European Network-Home-Care Management System (TEN-HMS) study. J Am Coll Cardiol 45(10):1654–1664PubMedCrossRef Cleland JG et al (2005) Noninvasive home telemonitoring for patients with heart failure at high risk of recurrent admission and death: the Trans-European Network-Home-Care Management System (TEN-HMS) study. J Am Coll Cardiol 45(10):1654–1664PubMedCrossRef
12.
go back to reference Steventon A et al (2012) Effect of telehealth on use of secondary care and mortality: findings from the Whole System Demonstrator cluster randomised trial. BMJ 344:e3874PubMedCentralPubMedCrossRef Steventon A et al (2012) Effect of telehealth on use of secondary care and mortality: findings from the Whole System Demonstrator cluster randomised trial. BMJ 344:e3874PubMedCentralPubMedCrossRef
13.
go back to reference Abraham WT et al (2011) Wireless pulmonary artery haemodynamic monitoring in chronic heart failure: a randomised controlled trial. Lancet 377(9766):658–666PubMedCrossRef Abraham WT et al (2011) Wireless pulmonary artery haemodynamic monitoring in chronic heart failure: a randomised controlled trial. Lancet 377(9766):658–666PubMedCrossRef
14.
go back to reference Dendale P et al (2012) Effect of a telemonitoring-facilitated collaboration between general practitioner and heart failure clinic on mortality and rehospitalization rates in severe heart failure: the TEMA-HF 1 (TElemonitoring in the MAnagement of Heart Failure) study. Eur J Heart Fail 14(3):333–340PubMedCrossRef Dendale P et al (2012) Effect of a telemonitoring-facilitated collaboration between general practitioner and heart failure clinic on mortality and rehospitalization rates in severe heart failure: the TEMA-HF 1 (TElemonitoring in the MAnagement of Heart Failure) study. Eur J Heart Fail 14(3):333–340PubMedCrossRef
15.
go back to reference Weintraub A et al (2010) A multicenter randomized controlled evaluation of automated home monitoring and telephonic disease management in patients recently hospitalized for congestive heart failure: the SPAN-CHF II trial. J Card Fail 16(4):285–292PubMedCrossRef Weintraub A et al (2010) A multicenter randomized controlled evaluation of automated home monitoring and telephonic disease management in patients recently hospitalized for congestive heart failure: the SPAN-CHF II trial. J Card Fail 16(4):285–292PubMedCrossRef
16.
go back to reference GESICA investigators (2005) Randomised trial of telephone intervention in chronic heart failure: DIAL trial. BMJ 331(7514):425 GESICA investigators (2005) Randomised trial of telephone intervention in chronic heart failure: DIAL trial. BMJ 331(7514):425
17.
go back to reference Ferrante D et al (2010) Long-term results after a telephone intervention in chronic heart failure: DIAL (Randomized Trial of Phone Intervention in Chronic Heart Failure) follow-up. J Am Coll Cardiol 56(5):372–378PubMedCrossRef Ferrante D et al (2010) Long-term results after a telephone intervention in chronic heart failure: DIAL (Randomized Trial of Phone Intervention in Chronic Heart Failure) follow-up. J Am Coll Cardiol 56(5):372–378PubMedCrossRef
19.
go back to reference Steventon A et al (2013) Effect of telephone health coaching (Birmingham OwnHealth) on hospital use and associated costs: cohort study with matched controls. BMJ 347:f4585PubMedCentralPubMedCrossRef Steventon A et al (2013) Effect of telephone health coaching (Birmingham OwnHealth) on hospital use and associated costs: cohort study with matched controls. BMJ 347:f4585PubMedCentralPubMedCrossRef
20.
go back to reference Dar O et al (2009) A randomized trial of home telemonitoring in a typical elderly heart failure population in North West London: results of the Home-HF study. Eur J Heart Fail 11(3):319–325PubMedCentralPubMedCrossRef Dar O et al (2009) A randomized trial of home telemonitoring in a typical elderly heart failure population in North West London: results of the Home-HF study. Eur J Heart Fail 11(3):319–325PubMedCentralPubMedCrossRef
21.
go back to reference Scherr D et al (2009) Effect of home-based telemonitoring using mobile phone technology on the outcome of heart failure patients after an episode of acute decompensation: randomized controlled trial. J Med Internet Res 11(3):34CrossRef Scherr D et al (2009) Effect of home-based telemonitoring using mobile phone technology on the outcome of heart failure patients after an episode of acute decompensation: randomized controlled trial. J Med Internet Res 11(3):34CrossRef
22.
go back to reference Domingo M et al (2011) Noninvasive remote telemonitoring for ambulatory patients with heart failure: effect on number of hospitalizations, days in hospital, and quality of life. CARME (CAtalan Remote Management Evaluation) study]. Rev Esp Cardiol 64(4):277–285PubMedCrossRef Domingo M et al (2011) Noninvasive remote telemonitoring for ambulatory patients with heart failure: effect on number of hospitalizations, days in hospital, and quality of life. CARME (CAtalan Remote Management Evaluation) study]. Rev Esp Cardiol 64(4):277–285PubMedCrossRef
24.
go back to reference Koehler F et al (2011) Impact of remote telemedical management on mortality and hospitalizations in ambulatory patients with chronic heart failure: the telemedical interventional monitoring in heart failure study. Circulation 123(17):1873–1880PubMedCrossRef Koehler F et al (2011) Impact of remote telemedical management on mortality and hospitalizations in ambulatory patients with chronic heart failure: the telemedical interventional monitoring in heart failure study. Circulation 123(17):1873–1880PubMedCrossRef
25.
go back to reference Adams KF Jr et al (2005) Characteristics and outcomes of patients hospitalized for heart failure in the United States: rationale, design, and preliminary observations from the first 100, 000 cases in the Acute Decompensated Heart Failure National Registry (ADHERE). Am Heart J 149(2):209–216PubMedCrossRef Adams KF Jr et al (2005) Characteristics and outcomes of patients hospitalized for heart failure in the United States: rationale, design, and preliminary observations from the first 100, 000 cases in the Acute Decompensated Heart Failure National Registry (ADHERE). Am Heart J 149(2):209–216PubMedCrossRef
26.
go back to reference Stevenson LW (2006) Are hemodynamic goals viable in tailoring heart failure therapy? Hemodynamic goals are relevant. Circulation 113(7):1020–1027; discussion 1033 Stevenson LW (2006) Are hemodynamic goals viable in tailoring heart failure therapy? Hemodynamic goals are relevant. Circulation 113(7):1020–1027; discussion 1033
27.
go back to reference Zile MR et al (2008) Transition from chronic compensated to acute decompensated heart failure: pathophysiological insights obtained from continuous monitoring of intracardiac pressures. Circulation 118(14):1433–1441PubMedCrossRef Zile MR et al (2008) Transition from chronic compensated to acute decompensated heart failure: pathophysiological insights obtained from continuous monitoring of intracardiac pressures. Circulation 118(14):1433–1441PubMedCrossRef
28.
go back to reference Abraham WT et al (2011) Intrathoracic impedance vs daily weight monitoring for predicting worsening heart failure events: results of the Fluid Accumulation Status Trial (FAST). Congest Heart Fail 17(2):51–55PubMedCrossRef Abraham WT et al (2011) Intrathoracic impedance vs daily weight monitoring for predicting worsening heart failure events: results of the Fluid Accumulation Status Trial (FAST). Congest Heart Fail 17(2):51–55PubMedCrossRef
29.
go back to reference Zhang J et al (2009) Predicting hospitalization due to worsening heart failure using daily weight measurement: analysis of the Trans-European Network-Home-Care Management System (TEN-HMS) study. Eur J Heart Fail 11(4):420–427PubMedCrossRef Zhang J et al (2009) Predicting hospitalization due to worsening heart failure using daily weight measurement: analysis of the Trans-European Network-Home-Care Management System (TEN-HMS) study. Eur J Heart Fail 11(4):420–427PubMedCrossRef
30.
go back to reference Bourge RC et al (2008) Randomized controlled trial of an implantable continuous hemodynamic monitor in patients with advanced heart failure: the COMPASS-HF study. J Am Coll Cardiol 51(11):1073–1079PubMedCrossRef Bourge RC et al (2008) Randomized controlled trial of an implantable continuous hemodynamic monitor in patients with advanced heart failure: the COMPASS-HF study. J Am Coll Cardiol 51(11):1073–1079PubMedCrossRef
31.
go back to reference Zile MR et al (2008) Application of implantable hemodynamic monitoring in the management of patients with diastolic heart failure: a subgroup analysis of the COMPASS-HF trial. J Card Fail 14(10):816–823PubMedCrossRef Zile MR et al (2008) Application of implantable hemodynamic monitoring in the management of patients with diastolic heart failure: a subgroup analysis of the COMPASS-HF trial. J Card Fail 14(10):816–823PubMedCrossRef
32.
go back to reference Steinhaus D et al (2005) Implant experience with an implantable hemodynamic monitor for the management of symptomatic heart failure. Pacing Clin Electrophysiol 28(8):747–753PubMedCrossRef Steinhaus D et al (2005) Implant experience with an implantable hemodynamic monitor for the management of symptomatic heart failure. Pacing Clin Electrophysiol 28(8):747–753PubMedCrossRef
34.
go back to reference Loh JP, Barbash IM, Waksman R (2013) Overview of the 2011 Food and Drug Administration Circulatory System Devices Panel of the Medical Devices Advisory Committee Meeting on the CardioMEMS Champion Heart Failure Monitoring System. J Am Coll Cardiol 61(15):1571–1576PubMedCrossRef Loh JP, Barbash IM, Waksman R (2013) Overview of the 2011 Food and Drug Administration Circulatory System Devices Panel of the Medical Devices Advisory Committee Meeting on the CardioMEMS Champion Heart Failure Monitoring System. J Am Coll Cardiol 61(15):1571–1576PubMedCrossRef
36.
go back to reference Ritzema J et al (2010) Physician-directed patient self-management of left atrial pressure in advanced chronic heart failure. Circulation 121(9):1086–1095PubMedCrossRef Ritzema J et al (2010) Physician-directed patient self-management of left atrial pressure in advanced chronic heart failure. Circulation 121(9):1086–1095PubMedCrossRef
37.
go back to reference Adamson PB et al (2004) Continuous autonomic assessment in patients with symptomatic heart failure: prognostic value of heart rate variability measured by an implanted cardiac resynchronization device. Circulation 110(16):2389–2394PubMedCrossRef Adamson PB et al (2004) Continuous autonomic assessment in patients with symptomatic heart failure: prognostic value of heart rate variability measured by an implanted cardiac resynchronization device. Circulation 110(16):2389–2394PubMedCrossRef
38.
go back to reference Sarkar S et al (2012) Burden of atrial fibrillation and poor rate control detected by continuous monitoring and the risk for heart failure hospitalization. Am Heart J 164(4):616–624PubMedCrossRef Sarkar S et al (2012) Burden of atrial fibrillation and poor rate control detected by continuous monitoring and the risk for heart failure hospitalization. Am Heart J 164(4):616–624PubMedCrossRef
39.
go back to reference Braunschweig F et al (2005) Monitoring of physical activity and heart rate variability in patients with chronic heart failure using cardiac resynchronization devices. Am J Cardiol 95(9):1104–1107PubMedCrossRef Braunschweig F et al (2005) Monitoring of physical activity and heart rate variability in patients with chronic heart failure using cardiac resynchronization devices. Am J Cardiol 95(9):1104–1107PubMedCrossRef
40.
go back to reference Yu CM et al (2005) Intrathoracic impedance monitoring in patients with heart failure: correlation with fluid status and feasibility of early warning preceding hospitalization. Circulation 112(6):841–848PubMedCrossRef Yu CM et al (2005) Intrathoracic impedance monitoring in patients with heart failure: correlation with fluid status and feasibility of early warning preceding hospitalization. Circulation 112(6):841–848PubMedCrossRef
41.
go back to reference Vollmann D et al (2007) Clinical utility of intrathoracic impedance monitoring to alert patients with an implanted device of deteriorating chronic heart failure. Eur Heart J 28(15):1835–1840PubMedCrossRef Vollmann D et al (2007) Clinical utility of intrathoracic impedance monitoring to alert patients with an implanted device of deteriorating chronic heart failure. Eur Heart J 28(15):1835–1840PubMedCrossRef
42.
go back to reference Conraads VM et al (2011) Sensitivity and positive predictive value of implantable intrathoracic impedance monitoring as a predictor of heart failure hospitalizations: the SENSE-HF trial. Eur Heart J 32(18):2266–2273PubMedCrossRef Conraads VM et al (2011) Sensitivity and positive predictive value of implantable intrathoracic impedance monitoring as a predictor of heart failure hospitalizations: the SENSE-HF trial. Eur Heart J 32(18):2266–2273PubMedCrossRef
43.
44.
go back to reference van Veldhuisen DJ et al (2011) Intrathoracic impedance monitoring, audible patient alerts, and outcome in patients with heart failure. Circulation 124(16):1719–1726PubMedCrossRef van Veldhuisen DJ et al (2011) Intrathoracic impedance monitoring, audible patient alerts, and outcome in patients with heart failure. Circulation 124(16):1719–1726PubMedCrossRef
45.
go back to reference Brachmann J et al (2011) Fluid status monitoring with a wireless network to reduce cardiovascular-related hospitalizations and mortality in heart failure: rationale and design of the OptiLink HF Study (Optimization of Heart Failure Management using OptiVol Fluid Status Monitoring and CareLink). Eur J Heart Fail 13(7):796–804PubMedCentralPubMedCrossRef Brachmann J et al (2011) Fluid status monitoring with a wireless network to reduce cardiovascular-related hospitalizations and mortality in heart failure: rationale and design of the OptiLink HF Study (Optimization of Heart Failure Management using OptiVol Fluid Status Monitoring and CareLink). Eur J Heart Fail 13(7):796–804PubMedCentralPubMedCrossRef
46.
go back to reference Whellan DJ et al (2010) Combined heart failure device diagnostics identify patients at higher risk of subsequent heart failure hospitalizations: results from PARTNERS HF (Program to Access and Review Trending Information and Evaluate Correlation to Symptoms in Patients With Heart Failure) study. J Am Coll Cardiol 55(17):1803–1810PubMedCrossRef Whellan DJ et al (2010) Combined heart failure device diagnostics identify patients at higher risk of subsequent heart failure hospitalizations: results from PARTNERS HF (Program to Access and Review Trending Information and Evaluate Correlation to Symptoms in Patients With Heart Failure) study. J Am Coll Cardiol 55(17):1803–1810PubMedCrossRef
47.
go back to reference Cowie MR et al (2013) Development and validation of an integrated diagnostic algorithm derived from parameters monitored in implantable devices for identifying patients at risk for heart failure hospitalization in an ambulatory setting. Eur Heart J 34(31):2472–2480PubMedCentralPubMedCrossRef Cowie MR et al (2013) Development and validation of an integrated diagnostic algorithm derived from parameters monitored in implantable devices for identifying patients at risk for heart failure hospitalization in an ambulatory setting. Eur Heart J 34(31):2472–2480PubMedCentralPubMedCrossRef
48.
go back to reference Thokala P et al (2013) Telemonitoring after discharge from hospital with heart failure: cost-effectiveness modelling of alternative service designs. BMJ Open 3(9):e003250PubMedCentralPubMedCrossRef Thokala P et al (2013) Telemonitoring after discharge from hospital with heart failure: cost-effectiveness modelling of alternative service designs. BMJ Open 3(9):e003250PubMedCentralPubMedCrossRef
49.
go back to reference Henderson C et al (2013) Cost effectiveness of telehealth for patients with long term conditions (Whole Systems Demonstrator telehealth questionnaire study): nested economic evaluation in a pragmatic, cluster randomised controlled trial. BMJ 346:f1035PubMedCrossRef Henderson C et al (2013) Cost effectiveness of telehealth for patients with long term conditions (Whole Systems Demonstrator telehealth questionnaire study): nested economic evaluation in a pragmatic, cluster randomised controlled trial. BMJ 346:f1035PubMedCrossRef
50.
go back to reference Pandor A et al (2013) Remote monitoring after recent hospital discharge in patients with heart failure: a systematic review and network meta-analysis. Heart 99(23):1717–1726PubMedCrossRef Pandor A et al (2013) Remote monitoring after recent hospital discharge in patients with heart failure: a systematic review and network meta-analysis. Heart 99(23):1717–1726PubMedCrossRef
51.
go back to reference Maisel A et al (2013) Primary results of the HABIT Trial (heart failure assessment with BNP in the home). J Am Coll Cardiol 61(16):1726–1735PubMedCrossRef Maisel A et al (2013) Primary results of the HABIT Trial (heart failure assessment with BNP in the home). J Am Coll Cardiol 61(16):1726–1735PubMedCrossRef
52.
go back to reference Cleland JG, Ekman I (2010) Enlisting the help of the largest health care workforce–patients. JAMA 304(12):1383–1384PubMedCrossRef Cleland JG, Ekman I (2010) Enlisting the help of the largest health care workforce–patients. JAMA 304(12):1383–1384PubMedCrossRef
53.
go back to reference Pandor A et al (2013) Home telemonitoring or structured telephone support programmes after recent discharge in patients with heart failure: systematic review and economic evaluation. Health Technol Assess 17(32):1–207, v–vi Pandor A et al (2013) Home telemonitoring or structured telephone support programmes after recent discharge in patients with heart failure: systematic review and economic evaluation. Health Technol Assess 17(32):1–207, v–vi
Metadata
Title
Telemonitoring in heart failure: Big Brother watching over you
Authors
R. Dierckx
P. Pellicori
J. G. F. Cleland
A. L. Clark
Publication date
01-01-2015
Publisher
Springer US
Published in
Heart Failure Reviews / Issue 1/2015
Print ISSN: 1382-4147
Electronic ISSN: 1573-7322
DOI
https://doi.org/10.1007/s10741-014-9449-4

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