Arq. Bras. Cardiol. 2020; 115(6): 1190-1192
Emerging Topics in Heart Failure: The Future of Heart Failure: Telemonitoring, Wearables, Artificial Intelligence and Learning in the Post-Pandemic Era
Aguinaldo F Freitas Jr
, Fábio S. Silveira
, Germano E. Conceição-Souza
, Manoel F. Canesin
, Pedro V. Schwartzmann
, Sabrina Bernardez-Pereira
, Reinaldo B. Bestetti
Telemonitoring in Heart Failure and Remote Management
Telemonitoring consists of monitoring and remote support for chronic heart failure (HF) patients. Telemonitoring can be non-invasive or invasive. Non-invasive telemonitoring includes telephone calls, periodic guidance through instructional material, control and monitoring of body weight, video calls and teleconsultations. , Invasive telemonitoring involves implantable devices that transmit hemodynamic and intrathoracic impedance data to a remote server. ,
Clinical trials of non-invasive telemonitoring often show conflicting results. However, meta-analyses of observational and randomized studies on invasive and non-invasive telemonitoring have shown that they have a positive impact on HF prognosis. The reduction in overall mortality in HF patients can vary from 19 to 31% with invasive or non-invasive telemonitoring, , while reduction in the frequency of hospitalization for HF varies from 27 to 39%, mainly in functional class III/IV patients. –
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