Heart failure remote monitoring: novel approaches and management strategies

Cristian Xavier Proaño Bautista, Angie Pauleth Tinoco Aguilar, Rayza Alexandra Andrade Valenzuela, Arellys Jacqueline Zamora Pachay, Jorge Nicolás Vega Pacheco
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Abstract

Background. Globally, heart failure is a leading health problem, with an estimated 64 million cases worldwide, including 6.7 million in the U.S., according to estimates. The U.S. economic burden is expected to see a steep rise by the year 2030. Heart failure is a cause of 8.5% of heart disease-related deaths and a central cardiovascular killer. Emergency hospitalization rates and readmission rates are high. Methods: A systematic methodology was followed to generate authentic and reliable data on remote monitoring in the setting of heart failure patients. The inclusion criteria comprise articles describing remote monitoring interventions published in peer-reviewed journals and carried out in human subjects in English. Critical analysis applies quality assessment tools to assess methodological soundness, possible bias, and relevance to the research objective. Results: This review discusses wearable devices, e.g., Zoll HFMS ReDS, and Audicor, each effectively monitoring cardiac parameters and reducing H.F. hospitalizations. Implantable cardiac monitors such as LUX-Dx and CardioMEMS H.F. RM has potential to give real-time data for timely intervention and tailored therapies. The integration of machine learning algorithms in devices, for example, VitalPatch and the SimpleSense has led to increased use of these devices to make precise and efficient health care predictions, leading to improved patient outcomes. Conclusion: From all the research, remote monitoring devices and strategies are recommendable for patients with various cardiac complications. It can improve heart function, however, R.M. has not been seen to reduce the overall mortality rate among heart patients.
心力衰竭远程监控:新方法和管理策略
背景。在全球范围内,心力衰竭是一个主要的健康问题,据估计,全球约有 6400 万病例,其中包括美国的 670 万病例。预计到 2030 年,美国的经济负担将急剧上升。心力衰竭导致 8.5% 的心脏病相关死亡,是心血管疾病的主要杀手。急诊住院率和再入院率都很高。研究方法采用系统的方法,收集有关心衰患者远程监护的真实可靠数据。纳入标准包括在同行评议期刊上发表的、以人为对象进行远程监护干预的英文文章。批判性分析采用质量评估工具来评估方法的合理性、可能存在的偏差以及与研究目标的相关性。结果本综述讨论了可穿戴设备,如 Zoll HFMS ReDS 和 Audicor,每种设备都能有效监测心脏参数并减少高脂血症的住院治疗。LUX-Dx 和 CardioMEMS H.F. RM 等植入式心脏监护仪具有提供实时数据的潜力,可用于及时干预和定制治疗。VitalPatch 和 SimpleSense 等设备中集成了机器学习算法,使这些设备的使用率不断提高,从而可以做出精确、高效的医疗预测,改善患者的治疗效果。结论从所有研究来看,对于患有各种心脏并发症的患者来说,远程监控设备和策略都是值得推荐的。它可以改善心脏功能,但还没有发现远程监控能降低心脏病患者的总体死亡率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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