A critical review on telemonitoring in heart failure

Gurné, Olivier;Conraads, Viviane;Missault, Luc;Mullens, Wilfried;Belgian Working Group on Heart Failure;et.al.
(2012) Acta Cardiologica : an international journal of cardiology — Vol. 67, n° 4, p. 439-444 (2012)

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Abstract
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.
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Gurné, O., Conraads, V., Missault, L., Mullens, W., Vachierys, J.-L., Van Mieghem, W., Droogne, W., Pouleur, A.-C., Troisfontaine, P., Huez, S., Nellessens, E., Peperstraete, B., Blouardo, P., Vanhaecke, J., Raes, D., & Belgian Working Group on Heart Failure. (2012). A critical review on telemonitoring in heart failure. Acta Cardiologica : an international journal of cardiology, 67(4), 439-444. https://doi.org/10.2143/AC.67.4.2170685 (Original work published 2012)