Annales de cardiologie et d'angeiologie最新文献

{"title":"Anomalies électrocardiographiques et échocardiographiques au cours du lupus érythémateux systémique : les premières données des patients Camerounais","authors":"Jan René Nkeck ,&nbsp;Valérie Ndobo-Koe ,&nbsp;Stela Valdesse Kamgue Wambo ,&nbsp;Carelle Doen Guedi ,&nbsp;Adeline Pelda ,&nbsp;Gisèle Flora Nandjip ,&nbsp;Baudelaire Fojo ,&nbsp;Caroline Ngoufack-Tientcheu ,&nbsp;Blondelle Ndifon ,&nbsp;Laeticia Yowo ,&nbsp;Liliane Kuate Mfeukeu ,&nbsp;Madeleine Ngandeu Singwé","doi":"10.1016/j.ancard.2025.101905","DOIUrl":"10.1016/j.ancard.2025.101905","url":null,"abstract":"<div><h3>Introduction</h3><div>Limited data are available on cardiac manifestations in systemic lupus erythematosus (SLE) in Cameroon. The aim of this study was to report on electrocardiographic and echocardiographic abnormalities in this population.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted from October 2023 to May 2024 at the Yaoundé Central Hospital, involving patients followed up for SLE satisfying the ACR/EULAR 2019 criteria, paired with healthy subjects. They underwent electrocardiographic and echocardiographic examinations. Frequencies of abnormalities were compared using Fisher's exact test. The significance threshold was 0.05.</div></div><div><h3>Results</h3><div>We included 55 SLE patients (94.5% female) with a mean age of 39 (10) years, and 55 matched control subjects. Clinically, 10 (18.2%) SLE patients presented with functional cardiac signs. Electrocardiographic and echographic abnormalities accounted for 29.1% and 43.6% of patients, respectively, with frequencies significantly higher than those of controls (10.9% and 7.3%, respectively). These included sinus tachycardia (14.5%), ST elevation (14.5%), and T-wave inversion (16.3%) on electrocardiography; pericardial effusion (25.5%), mitral insufficiency (23.6%), aortic insufficiency (20%), and pulmonary hypertension (14.5%) on echocardiography.</div></div><div><h3>Conclusion</h3><div>Electrocardiographic and echocardiographic abnormalities are common, affecting one-third and two-fifths respectively of SLE patients in our sample. They are usually asymptomatic, calling for screening and follow-up, as some can have a long-term prognostic impact.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 6","pages":"Article 101905"},"PeriodicalIF":0.3,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144572393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Résultats hospitaliers du registre de l'insuffisance cardiaque aiguë en mauritanie","authors":"Mohamed Issa Elkharchi ,&nbsp;Sidi Mohamed Cheikh Limame ,&nbsp;Sidi M’hamed Ethmane ,&nbsp;Salihou Fall ,&nbsp;Mohamed Ahmedou Seyid ,&nbsp;Mohamed Abdallahi Memahi ,&nbsp;Mahfoudh Mohamed Taleb ,&nbsp;Sirakhé Camara ,&nbsp;Ahmed Eba ,&nbsp;Horma Zein","doi":"10.1016/j.ancard.2025.101914","DOIUrl":"10.1016/j.ancard.2025.101914","url":null,"abstract":"<div><h3>Introduction</h3><div>Acute heart failure is a major public health issue worldwide. However, its characteristics in Mauritania remain unknown.</div></div><div><h3>Objective</h3><div>The aim of our study is to assess the characteristics of acute heart failure in Mauritania.</div></div><div><h3>Methods</h3><div>We conducted a single-center, prospective, observational, and descriptive study. We included patients hospitalized for acute heart failure at the National Cardiology Center between January 1, 2024, and May 31, 2024.</div></div><div><h3>Results</h3><div>During the study period, 307 patients were hospitalized for acute heart failure. The mean age of patients was 59.8 ± 15 years, with men accounting for 64.8%. The main cardiovascular risk factor was hypertension (31.6%). NYHA stages 3 and 4 represented 12.7% and 73.6%, respectively. Atrial fibrillation was present in 23.1% of cases, and anemia was found in 51.8%. The mean left ventricular ejection fraction was 41.6%. Decompensated chronic heart failure was the most common presentation (37.8%), while heart failure with reduced ejection fraction accounted for 55.7%. Ischemic heart disease was present in 33.2% of cases. Quadruple therapy for heart failure was initiated in the majority of patients before hospital discharge. The in-hospital mortality rate was 5.5%.</div></div><div><h3>Conclusion</h3><div>Acute heart failure in Mauritania primarily affects middle-aged individuals. The care follows the guidelines in the National Cardiology Center. A significant effort must be made to extend this organization to the rest of the country.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 6","pages":"Article 101914"},"PeriodicalIF":0.3,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144570559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contribution de la téléexpertise échocardiographique à la prise en charge des cardiopathies congénitales : expérience du Burkina Faso","authors":"Relwendé Aristide Yameogo ,&nbsp;Lydie Kologo ,&nbsp;Adama Sawadogo ,&nbsp;Yibar Kambire ,&nbsp;Hippolyte N Some ,&nbsp;Lassina Konate ,&nbsp;Safiatou Tiemtore ,&nbsp;Lynda Compaore ,&nbsp;Patrice Zabsonre ,&nbsp;Nicolas Meda ,&nbsp;Cheick Oumar Bagayoko","doi":"10.1016/j.ancard.2025.101902","DOIUrl":"10.1016/j.ancard.2025.101902","url":null,"abstract":"<div><h3>Introduction</h3><div>Medical imaging is a major focus of information and communication technologies (ICTs) as it generates the largest volume of digital data. L’utilisation de la télémédecine est une opportunité qui permettra d’améliorer la prise en charge des patients. The objective of our study was to assess the contribution of echocardiographic tele-expertise in the management of heart diseases in Burkina Faso.</div></div><div><h3>Methods</h3><div>This was a prospective cohort study conducted from February 16, 2021, to April 6, 2023, in the thoracic and cardiovascular surgery department of the Tengandogo University Hospital. Patients included were those who had undergone echocardiographic tele-expertise and cardiac surgery in Burkina Faso. We compared the concordance between the diagnoses of the requesting cardiologist and the consulting cardiologist on one hand, and between the consulting physician and intraoperative diagnoses on the other hand. Diagnostic concordance rates were used for comparisons.</div></div><div><h3>Results</h3><div>A total of 384 patients benefited from tele-expertise, and 123 underwent surgery in Burkina Faso. Of these, 111 patients were included in the study. The cohort exhibited a female predominance (59.5%), with a mean age of 9.3 years. Congenital heart diseases accounted for 82.9% of cases, dominated by patent ductus arteriosus (40.2%). Acquired heart diseases represented 17.1%, mainly mitral stenosis (52.6%). The diagnostic concordance rate was 94.5% between the requesting and consulting cardiologists and 100% between the consulting cardiologist and intraoperative findings. The mortality rate was 3.6%.</div></div><div><h3>Conclusion</h3><div>Echocardiographic tele-expertise is a reliable and safe practice for both patient management and continuous training of cardiologists. Deploying this practice in regional hospital with cardiologists can improve healthcare delivery.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 6","pages":"Article 101902"},"PeriodicalIF":0.3,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144563303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Complications successives dans le syndrome de takotsubo – de l'oedème pulmonaire au choc cardiogénique aigu à l'arythmie ventriculaire : un rapport de cas","authors":"Alexia François ,&nbsp;Eddy Ngando Ngena ,&nbsp;Laurence Van Der Haert ,&nbsp;Emmanuel Haine ,&nbsp;Linda Kubangumusu Bunzi","doi":"10.1016/j.ancard.2025.101903","DOIUrl":"10.1016/j.ancard.2025.101903","url":null,"abstract":"<div><div>Takotsubo syndrome (TTS), also known as “stress cardiomyopathy”, manifests as transient left ventricular dysfunction and shares similarities with acute coronary syndrome (ACS). Although often considered benign, it has mortality rates and complications (cardiogenic shock, arrhythmias, etc.) close to those of ACS.</div><div>This article reports on a clinical case of Takotsubo syndrome in a 70-year-old female patient who presented a series of complications. This serves as a reminder of the need for intensive follow-up during the acute phase.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 6","pages":"Article 101903"},"PeriodicalIF":0.3,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144563892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analyse rétrospective de la prise en charge de la fibrillation atriale dans un service de cardiologie à l’Institut de Cardiologie d’Abidjan (Côte d’Ivoire)","authors":"Iklo Coulibaly ,&nbsp;Marie-Paule Bernadette N'cho-Mottoh ,&nbsp;Florent Kouassi Koffi ,&nbsp;Inès Angoran ,&nbsp;Fatoumata Traoré ,&nbsp;Stéphane Youmbi Simeu","doi":"10.1016/j.ancard.2025.101904","DOIUrl":"10.1016/j.ancard.2025.101904","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to analyze the management of atrial fibrillation in a cardiology department in sub-Saharan Africa.</div></div><div><h3>Methodology and results</h3><div>We conducted a retrospective study of 146 consecutive patients aged at least 18 years hospitalized for atrial fibrillation over a two-year period in our cardiology department at the cardiology institute of Abidjan (Côte d'Ivoire). The mean age of the study population was 61.2 ±15.5 years, and the majority were women (51.4%). The respective prevalences of paroxysmal, persistent, and permanent fibrillation were 11.6%, 4.1%, and 32.2%.</div><div>The underlying pathologies found in 105 patients were: hypertensive heart disease (47.2%), valvular heart disease (15.7%), and dilated cardiomyopathy (4.1%). A heart rate control strategy was chosen in the majority of cases (84.2%). Beta-blockers (36.3%), digoxin (20.5%), and amiodarone (18%) were the most commonly used drug classes. The mean CHA2DS2VASc score was 3±1.57, and 85.2% of patients had a CHA2DS2VASc score ≥ 2. Of the patients requiring oral anticoagulation, 91 (76.5%) received it.</div></div><div><h3>Conclusion</h3><div>Atrial fibrillation is severe in our context because of the greater prevalence of heart failure, hypertensive heart disease and cardiovascular risk factors, all of which increase the risk of thromboembolism. The heart rate control strategy was predominant and oral anticoagulation was correctly prescribed in 76.5% despite a high CHA2DS2VASc score.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 6","pages":"Article 101904"},"PeriodicalIF":0.3,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144557487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sommaire","authors":"","doi":"10.1016/S0003-3928(25)00049-6","DOIUrl":"10.1016/S0003-3928(25)00049-6","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 3","pages":"Article 101910"},"PeriodicalIF":0.3,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial board / Ours rédaction","authors":"","doi":"10.1016/S0003-3928(25)00047-2","DOIUrl":"10.1016/S0003-3928(25)00047-2","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 3","pages":"Article 101908"},"PeriodicalIF":0.3,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Le Pontage Coronarien chez le Sujet de Moins de 45 ans : Profil caractéristique et résultat à long terme","authors":"Yassin El Mourabit ,&nbsp;Mohammed Tribak ,&nbsp;Hasna Leghlimi ,&nbsp;Wafae El Amraoui ,&nbsp;Mehdi Laaroussi ,&nbsp;Abderahmane El Bakkali ,&nbsp;Lahcen Mermade ,&nbsp;Said Moughil","doi":"10.1016/j.ancard.2025.101900","DOIUrl":"10.1016/j.ancard.2025.101900","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;La coronaropathie chez le sujet jeune présente des particularités influençant la prise en charge, faisant du pontage coronarien le traitement de référence, avec un intérêt notable dans ce contexte.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;But&lt;/h3&gt;&lt;div&gt;Le but de notre étude est de caractériser le profil des patients et d'évaluer les résultats à court et à long terme du pontage coronarien chez les sujets de moins de 45 ans.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Méthodes&lt;/h3&gt;&lt;div&gt;Entre mai 1995 et décembre 2022, 130 patients jeunes ont bénéficié d'un pontage coronarien. Les variables analysées comprenaient la mortalité hospitalière, la morbidité postopératoire, la mortalité globale et cardiovasculaire, ainsi que l'occurrence d'événements cardiovasculaires majeurs. De plus, la qualité de vie des patients et leur adhésion au traitement ont également été démontrées. Le suivi moyen des patients était de 11 ± 2 ans.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Résultats&lt;/h3&gt;&lt;div&gt;La mortalité hospitalière était de 1,53 %. La morbidité postopératoire était de 24,61 %. La durée moyenne du séjour hospitalier était de 11±8 jours. La survie globale à 1, 5 et 10 ans était respectivement de 98 %, 95 % et 89 %. L'absence d'événements cardiovasculaires majeurs dans notre série était de 95,31 % à 1 an, 86,71 % à 5 ans et 82,03 % à 10 ans. Après un suivi moyen de 11 ± 2 ans (2-28 ans), 75,5 % des patients diabétiques ont un diabète contrôlé et 82,7 % ont arrêté de fumer, alors que la dyspnée d'effort et l'angor persistent respectivement chez 36 % et 18 % des patients.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Nos résultats démontrent que le pontage coronaire donne aux patients jeunes une morbi-mortalité hospitalière très admissible et une survie à long terme excellente, avec amélioration de la qualité de vie.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;Coronary artery disease in young patients presents particularities that influence management, making coronary artery bypass grafting (CABG) the treatment of choice, with significant relevance in this context.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;The aim of our study is to characterize the profile of patients and evaluate the short- and long-term outcomes of coronary artery bypass grafting in patients under 45 years of age.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Between May 1995 and December 2022, 130 young patients underwent coronary artery bypass grafting. The variables analyzed included hospital mortality, postoperative morbidity, overall and cardiovascular mortality, as well as the occurrence of major cardiovascular events. Additionally, patients' quality of life and treatment adherence were also assessed. The mean follow-up period for patients was 11 ± 2 years.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Hospital mortality was 1.53%. Postoperative morbidity was 24.61%. The mean length of hospital stay was 11±8 days. The overall survival at 1, 5, and 10 years was 98%, 95%, and 89%, respectively. The absence of major cardiovascular events in our series was 95","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 3","pages":"Article 101900"},"PeriodicalIF":0.3,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143918051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiomyopathie dilatée hypocalcémique réversible induite par un hypoparathyroïdisme secondaire décompensé après une infection à la Covid-19 : à propos d’un cas","authors":"Samia Ejjebli,&nbsp;Alaa Al Timimi,&nbsp;Yassine Ettagmouti,&nbsp;Ghali Benouna,&nbsp;Salim Arous,&nbsp;Abdenasser Drighil,&nbsp;Rachida Habbal","doi":"10.1016/j.ancard.2025.101899","DOIUrl":"10.1016/j.ancard.2025.101899","url":null,"abstract":"<div><h3>Introduction</h3><div>Hypocalcemia, though rare, can lead to heart failure with reduced ejection fraction and dilated cardiomyopathy. It may result from various etiologies, and its manifestations range from mild to life-threatening. Cardiovascular complications of hypocalcemia include QT interval prolongation, ventricular arrhythmias, and heart failure.we report a rare case of reversible hypocalcemic dilated cardiomyopathy.</div></div><div><h3>Case Report</h3><div>We present the case of a 41-year-old woman with secondary hypoparathyroidism following thyroidectomy in 2018. She was treated with levothyroxine, calcitriol, and calcium and vitamin D supplements. Following a Covid-19 infection in May 2021, her hypoparathyroidism decompensated, leading to severe hypocalcemia, which was inadequately managed. Five months later, she presented with worsening dyspnea, orthopnea, and bilateral lower limb edema. Clinical examination revealed positive Chvostek and Trousseau’s signs, indicating severe hypocalcemia. ECG showed sinus tachycardia with QT prolongation, and echocardiography revealed a dilated left ventricle with an ejection fraction (EF) of 29%. Despite normal coronary angiography, a CT scan showed bilateral pleural effusion and superior vena cava thrombosis. Laboratory findings confirmed hypocalcemia with elevated phosphorus and low parathyroid hormone levels. Intravenous calcium correction and heart failure management led to symptomatic improvement and normalization of serum calcium within one week. Echocardiography showed gradual recovery, with EF improving to 38% at 8 weeks and 57% after 6 months.</div></div><div><h3>Discussion</h3><div>Calcium plays a critical role in cardiac contractility, and its deficiency can severely impact myocardial function. Hypocalcemia following thyroidectomy is a known complication and can worsen during systemic infections like Covid-19. While hypocalcemia-induced cardiomyopathy is reversible with proper treatment, it requires early recognition and aggressive correction. *</div></div><div><h3>Conclusion</h3><div>This case highlights the importance of monitoring calcium levels in patients with hypoparathyroidism, especially in the context of systemic infections, to prevent potentially life-threatening complications like hypocalcemic cardiomyopathy. Proper diagnosis and treatment of hypocalcemia can lead to full recovery of cardiac function</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 3","pages":"Article 101899"},"PeriodicalIF":0.3,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143918052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intérêt de la télésurveillance non invasive dans le contrôle du poids, des symptômes et la réduction des hospitalisations chez les patients insuffisants cardiaques : analyse d'une cohorte française sur 1 an","authors":"Jérôme Costa,&nbsp;Priscillia Durdon,&nbsp;Julie Dangy,&nbsp;Lucie Lombardot,&nbsp;Louise Trousselle,&nbsp;Marine Pierre,&nbsp;Pierre Nazeyrollas,&nbsp;Damien Metz","doi":"10.1016/j.ancard.2025.101892","DOIUrl":"10.1016/j.ancard.2025.101892","url":null,"abstract":"<div><h3>Background</h3><div>Heart failure (HF) is a severe condition associated with high rates of hospitalization and mortality. Early outpatient detection of symptoms and weight gain through remote medical monitoring of HF (HF-RM) could improve patient prognosis.</div></div><div><h3>Objectives</h3><div>To evaluate the effectiveness of HF-RM in managing congestion in HF outpatients and to analyze event rates over 12 months (HF-related hospitalizations and all-cause mortality), as well as associated costs.</div></div><div><h3>Methods</h3><div>We included patients enrolled in the HF-RM at our hospital from July 2020 to December 2022. For each patient, HF-RM relied on daily transmission of weight and symptoms via a connected scale. Any alerts related to weight gain or the onset of new symptoms were managed within 48 hours by the specialized HF team, including a telephone contact, NT-proBNP testing, and treatment adjustment if necessary. Data on HF-related hospitalizations and vital status were collected over a 12-month period before and after the implementation of HF-RM. Event rates were compared to expected values at the onset of HF-RM, based on patient profiles and data from the ESC-HF-LT registry. Cost analysis included costs associated with HF-RM, the specialized HF nurse, biological tests, and HF hospitalizations.</div></div><div><h3>Results</h3><div>Among the 147 patients included, the average age was 60 ± 12 years, and 75% were male. The average ejection fraction (EF) was 33 ± 11%, with 76% of patients presenting with reduced EF. During the HF-RM period, 85 alerts (54% of patients) led to a significant reduction in weight and symptoms within 30 days. The hospitalization rate decreased from 44.9% before the initiation of HF-RM to 11.6% afterward (p &lt; 0.0001). The 12-month event rate was 15%, significantly lower than the expected 24.5% (p = 0.0002). The absence of transmitted alerts was strongly correlated with the absence of events (negative predictive value of 95.2%). The number of days spent at home increased, and costs significantly decreased.</div></div><div><h3>Conclusion</h3><div>HF-RM is associated with improved outpatient congestion control, reduced hospitalizations, and decreased healthcare costs. Further prospective, randomized studies are needed to better assess the impact of HF-RM on the progression of HF and its costs.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 3","pages":"Article 101892"},"PeriodicalIF":0.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143906775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}