Noninvasive biometric monitoring technologies for patients with heart failure.

IF 4.5 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS
Jose Arriola-Montenegro, Pornthira Mutirangura, Hassan Akram, Adamantios Tsangaris, Despoina Koukousaki, Michael Tschida, Joel Money, Marinos Kosmopoulos, Mikako Harata, Andrew Hughes, Andras Toth, Tamas Alexy
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Abstract

Heart failure remains one of the leading causes of mortality and hospitalizations in the US that not only impacts quality of life but also poses a significant public health burden. The majority of affected patients are admitted with signs and symptoms of congestion. Despite the initial enthusiasm, traditional remote monitoring strategies focusing primarily on weight gain failed to improve clinical outcomes. Implantable pulmonary artery pressure sensors provide earlier and actionable data, but most patients would favor forgoing an invasive procedure in favor of an alternative, non-invasive monitoring platform. Several devices utilizing different combinations of multiparameter monitoring to reliably detect congestion have recently been developed and are undergoing testing in the clinical setting. Combining these sensors with the power of artificial intelligence and machine learning has the potential to revolutionize remote patient monitoring and early congestion detection and to facilitate timely interventions by the care team to prevent hospitalization. This manuscript provides an objective review of novel, noninvasive, multiparameter remote monitoring platforms that may be tailored to individual heart failure phenotypes, aiming to improve quality of life and survival.

针对心力衰竭患者的无创生物识别监测技术。
在美国,心力衰竭仍然是导致死亡和住院的主要原因之一,它不仅影响生活质量,还对公共卫生造成重大负担。大多数患者入院时都伴有充血的体征和症状。尽管最初人们对这种疗法充满热情,但主要关注体重增加的传统远程监控策略未能改善临床效果。植入式肺动脉压力传感器能更早地提供可操作的数据,但大多数患者倾向于放弃有创手术,转而选择另一种无创监测平台。最近开发出了几种利用多参数监测的不同组合来可靠检测充血的设备,并正在临床环境中进行测试。将这些传感器与人工智能和机器学习的强大功能相结合,有可能彻底改变远程患者监测和早期充血检测,并促进护理团队及时干预,防止患者住院。本手稿对新型、无创、多参数远程监测平台进行了客观评述,这些平台可根据个体心衰表型量身定制,旨在提高生活质量和生存率。
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来源期刊
Heart Failure Reviews
Heart Failure Reviews 医学-心血管系统
CiteScore
10.40
自引率
2.20%
发文量
90
审稿时长
6-12 weeks
期刊介绍: Heart Failure Reviews is an international journal which develops links between basic scientists and clinical investigators, creating a unique, interdisciplinary dialogue focused on heart failure, its pathogenesis and treatment. The journal accordingly publishes papers in both basic and clinical research fields. Topics covered include clinical and surgical approaches to therapy, basic pharmacology, biochemistry, molecular biology, pathology, and electrophysiology. The reviews are comprehensive, expanding the reader''s knowledge base and awareness of current research and new findings in this rapidly growing field of cardiovascular medicine. All reviews are thoroughly peer-reviewed before publication.
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