Telemonitoring for the Management of Patients with Heart Failure

Advances in technology now make it possible to manage heart failure (HF) from a remote to a telemonitoring approach using either noninvasive solutions or implantable devices. Nowadays, it is possible to monitor at-home parameters that can be recorded, stored and remotely transmitted to physicians, a...

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Autores principales: Ferdinando Iellamo, Barbara Sposato, Maurizio Volterrani
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Lenguaje:EN
Publicado: Radcliffe Medical Media 2020
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Acceso en línea:https://doaj.org/article/095c9075153b4dbdba610e7490151348
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spelling oai:doaj.org-article:095c9075153b4dbdba610e74901513482021-12-04T16:02:39ZTelemonitoring for the Management of Patients with Heart Failure10.15420/cfr.2019.202057-75592057-7540https://doaj.org/article/095c9075153b4dbdba610e74901513482020-04-01T00:00:00Zhttps://www.cfrjournal.com/articles/telemonitoring-management-heart-failure-remote-monitoringhttps://doaj.org/toc/2057-7540https://doaj.org/toc/2057-7559Advances in technology now make it possible to manage heart failure (HF) from a remote to a telemonitoring approach using either noninvasive solutions or implantable devices. Nowadays, it is possible to monitor at-home parameters that can be recorded, stored and remotely transmitted to physicians, allowing them to make decisions for therapeutic modification, hospitalization or access to the emergency room. Standalone systems are available that are equipped with self-intelligence and are able to acquire and elaborate data that can inform the remote physician of impending decompensation before it results in additional complications. The development of miniature implantable devices, which could measure haemodynamic variables and transmit them to a monitor outside the body, offers the possibility for the physician to obtain more frequent evaluations of HF patients and the opportunity to take these data into account in management decisions. At present, several telemonitoring devices are available, but the only Food and Drug Administration-approved system is the cardio-microelectromechanical system, which is an implantable pulmonary arterial pressure (PAP) monitoring device that allows a direct monitoring of the PAP via a sensor implanted in the pulmonary artery. This information is then uploaded to a web-based interface from which healthcare providers can track the results and manage patients. At present, the challenge point for telemedicine management of HF is to find the more relevant biological parameter to monitor the clinical status.Ferdinando IellamoBarbara SposatoMaurizio VolterraniRadcliffe Medical MediaarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENCardiac Failure Review , Vol 6, Iss , Pp - (2020)
institution DOAJ
collection DOAJ
language EN
topic Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle Diseases of the circulatory (Cardiovascular) system
RC666-701
Ferdinando Iellamo
Barbara Sposato
Maurizio Volterrani
Telemonitoring for the Management of Patients with Heart Failure
description Advances in technology now make it possible to manage heart failure (HF) from a remote to a telemonitoring approach using either noninvasive solutions or implantable devices. Nowadays, it is possible to monitor at-home parameters that can be recorded, stored and remotely transmitted to physicians, allowing them to make decisions for therapeutic modification, hospitalization or access to the emergency room. Standalone systems are available that are equipped with self-intelligence and are able to acquire and elaborate data that can inform the remote physician of impending decompensation before it results in additional complications. The development of miniature implantable devices, which could measure haemodynamic variables and transmit them to a monitor outside the body, offers the possibility for the physician to obtain more frequent evaluations of HF patients and the opportunity to take these data into account in management decisions. At present, several telemonitoring devices are available, but the only Food and Drug Administration-approved system is the cardio-microelectromechanical system, which is an implantable pulmonary arterial pressure (PAP) monitoring device that allows a direct monitoring of the PAP via a sensor implanted in the pulmonary artery. This information is then uploaded to a web-based interface from which healthcare providers can track the results and manage patients. At present, the challenge point for telemedicine management of HF is to find the more relevant biological parameter to monitor the clinical status.
format article
author Ferdinando Iellamo
Barbara Sposato
Maurizio Volterrani
author_facet Ferdinando Iellamo
Barbara Sposato
Maurizio Volterrani
author_sort Ferdinando Iellamo
title Telemonitoring for the Management of Patients with Heart Failure
title_short Telemonitoring for the Management of Patients with Heart Failure
title_full Telemonitoring for the Management of Patients with Heart Failure
title_fullStr Telemonitoring for the Management of Patients with Heart Failure
title_full_unstemmed Telemonitoring for the Management of Patients with Heart Failure
title_sort telemonitoring for the management of patients with heart failure
publisher Radcliffe Medical Media
publishDate 2020
url https://doaj.org/article/095c9075153b4dbdba610e7490151348
work_keys_str_mv AT ferdinandoiellamo telemonitoringforthemanagementofpatientswithheartfailure
AT barbarasposato telemonitoringforthemanagementofpatientswithheartfailure
AT mauriziovolterrani telemonitoringforthemanagementofpatientswithheartfailure
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