Chronic Heart Failure Therapy Optimization With CardioRenal Remote Monitoring System (HERMESHF)

2019 ◽  
Author(s):  
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Monitoring System ◽  
Remote Monitoring ◽  
Heart Failure Therapy ◽  
Remote Monitoring System

Abstract 18895: Utility of Remote Monitoring Using a Mobile Phone in Patients with Heart Failure: the REMOTE-HF-1 Study

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Marcus Stahlberg ◽  
Satish C Govind ◽  
Nicole M Orr ◽  
Aasha S Gopal ◽  
Justine S Lachmann ◽  
...  
Keyword(s):  
Heart Failure ◽  
Blood Pressure ◽  
Mobile Phone ◽  
Monitoring System ◽  
Primary Endpoint ◽  
Remote Monitoring ◽  
Nyha Class ◽  
Drop Out ◽  
Remote Monitoring System ◽  
Custom Made

Objective: To investigate the clinical feasibility (technical feasibility and patient-/clinician adherence) of remote telemonitoring, using a mobile phone, in an international and diverse HF population. Methods: HF patients from five centers in the USA, India and Sweden were equipped with a blood pressure apparatus, digital weight scale and a mobile phone device with custom made software for remote telemonitoring (Vitalbeat®). Patients were asked to record and transmit daily information on body weight, blood pressure and pulse rate as well as symptoms and adherence to medical therapy for 90 days. The primary endpoint, for assessment of general feasibility was defined as % of days with a combination of successful data transmission from patients and data read by clinicians. Acceptable clinical feasibility was a priori set as ≥ 66% of days meeting the primary endpoint. A survey was used to assess patients’ opinions about the remote monitoring system. Data was analyzed according to Intention to treat. Results: 46 HF patients were included (India=20, USA=13, Sweden=13; 59±16yrs; 84% male; NYHA-class 2.4±0.8) and followed for a total of 4410 days. The primary endpoint occurred in 3178 days (77%) and 34/46 patients (74%) exceeded the cut-off ≥ 66% of days meeting endpoint criteria. In the majority of patients (n=28; 61 %) the primary endpoint was met ≥ 90% of the days, and in 6 patients (13%) 66-89% of the days.Twelve patients (26%) opted to drop out of the study prematurely or were hospitalized for HF related causes. Compared to patients with acceptable clinical feasibility (≥ 66%), patients with less than acceptable feasibility (< 66%) were older (72±12 vs. 56±15 yrs, p=0.003) and more likely to be followed at a center in USA or Sweden (p=0.02 vs. Indian centers). The monitoring system was described as user friendly by 91 % of patients. Conclusion: This study shows that remote telemonitoring using a mobile phone is clinically feasible in an international and diverse heart failure population. However, monitoring was less feasible in elderly patients and depended on the geographic location. Further studies are warranted to assess whether clinical feasibility can improve with improved software/hardware design and/or patient selection.

Safety Evaluation of an Automated Remote Monitoring System for Heart Failure in an Urban, Indigent Population

2017 ◽  
Vol 20 (6) ◽  
pp. 449-457 ◽  
Author(s):  
Sandra Gross-Schulman ◽  
Laura Myerchin Sklaroff ◽  
Crystal Coyazo Hertz ◽  
Jeffrey J. Guterman
Keyword(s):  
Heart Failure ◽  
Monitoring System ◽  
Remote Monitoring ◽  
Safety Evaluation ◽  
Remote Monitoring System ◽  
Indigent Population

Expectations for the Remote Monitoring System in Heart Failure Patients with CRT

2013 ◽  
Vol 19 (10) ◽  
pp. S118
Author(s):  
Makoto Suzuki ◽  
Yuya Matsue ◽  
Rena Nakamura ◽  
Maki Ono ◽  
Ryota Iwatsuka ◽  
...  
Keyword(s):  
Heart Failure ◽  
Monitoring System ◽  
Remote Monitoring ◽  
Remote Monitoring System ◽  
Heart Failure Patients

scholarly journals First experience with a ready-to-use solution for remote monitoring of patients suffering from heart failure

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
H Lemieux ◽  
F Picard ◽  
F Barritault ◽  
J Labarre ◽  
S Lafitte ◽  
...  
Keyword(s):  
Heart Failure ◽  
Monitoring System ◽  
Remote Monitoring ◽  
Web Application ◽  
Patient Management ◽  
Remote Monitoring System ◽  
Funding Sources ◽  
Current Period ◽  
Potential Benefits

Abstract Funding Acknowledgements Type of funding sources: None. Background Heart failure (HF) is associated with a high mortality rate and recurrent hospitalizations. Purpose To present the first data of the patients using Satelia® Cardio solution Method Satelia® Cardio is a HF patient management solution with a remote monitoring system and a therapeutic guidance by a dedicated-nurse phone platform, supported by the ETAPES Program. The system is accessible from any device and requiring no installation. After the inclusion, the patient is contacted by the nurse, he then receives an SMS alerts following cardiologist prescription (on regular basis), with a link leading to a web page on which he will answer 7 questions and enter his current body weight. Satelia® Cardio algorithm is based on these data inputs, their variability, and the weight. In case of worsening of symptoms, the cardiologist will be notified. Since Covid-19 lockdown, more than 1400 patients have been monitored with the solution. Results 165 centers (306 cardiologists) are using Satelia® Cardio with 3540 HF patients monitored in the last 29 months. The patients with a mean age of 72 years (19-100) are predominantly males (67%), and mostly NYHA II/III (69%/31%) with a mean LVEF of 40%. The adherence to the system is very good (91%) with 78% of patients still monitored (n = 2787). The main reasons for stopping are related to the occurrence of death (205/753) or patient/HCP decision (392/753), or other reasons (156/753). Over the period of analysis, the HF patients answered to 163 700 questionnaires, generating 8210 alerts transmitted to the referent cardiologists. Conclusion Patient management solution with a remote monitoring system is key to improving the follow-up of HF patients. The solution Satelia® Cardio is an easy way to use a web application to monitor HF patients, especially on the current period of Covid-19 with a low rate of premature discontinuation. A further step will be to initiate studies to assess the potential benefits for both patients and HCPs  of such remote monitoring solution in HF.

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