实施远程监控策略，改善慢性心力衰竭管理

IF 2 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Current Opinion in Cardiology Pub Date : 2024-03-12 DOI:10.1097/hco.0000000000001119

Vinh Q. Chau, T. Imamura, N. Narang

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引用次数: 0

摘要

本综述的目的是描述慢性心力衰竭患者可使用的远程监控设备的现有证据，并详细介绍在日常临床实践中使用这些工具的实用临床建议。从除颤器中复杂的多参数算法、植入式肺动脉压力传感器到测量胸廓阻抗的可穿戴设备等多种设备都可作为重要的辅助工具，用于降低慢性心衰患者心衰住院的风险。肺动脉压力传感器可提供有关血液动力学状态的最精细数据，而可穿戴设备的胸廓阻抗警报和基于除颤器的算法可增加临床状态恶化的可能性，同时当数值在正常范围内时还具有很高的阴性预测价值。多种基于设备的监测策略可用于降低慢性心力衰竭患者的纵向风险。还需要进一步研究，以便更好地了解整合多种数据信号进行早期临床失代偿风险预测的实用途径视频摘要：http://links.lww.com/HCO/A95。

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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Implementation of remote monitoring strategies to improve chronic heart failure management

The goal of this review is to describe the current evidence available for remote monitoring devices available for patients with chronic heart failure, and also detail practical clinical recommendations for implementing these tools in daily clinical practice. Several devices ranging from sophisticated multiparametric algorithms in defibrillators, implantable pulmonary artery pressure sensors, and wearable devices to measure thoracic impedance can be utilized as important adjunctive tools to reduce the risk of heart failure hospitalization in patients with chronic heart failure. Pulmonary artery pressure sensors provide the most granular data regarding hemodynamic status, while alerts from wearable devices for thoracic impedance and defibrillator-based algorithms increase the likelihood of worsening clinical status while also having high negative predictive value when values are within normal range. Multiple device-based monitoring strategies are available to reduce longitudinal risk in patients with chronic heart failure. Further studies are needed to best understand a practical pathway to integrate multiple signals of data for early clinical decompensation risk prediction Video abstract: http://links.lww.com/HCO/A95.

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来源期刊

Current Opinion in Cardiology 医学-心血管系统

CiteScore

4.20

自引率

4.30%

发文量

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Cardiology is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With fourteen disciplines published across the year – including arrhythmias, molecular genetics, HDL cholesterol and clinical trials – every issue also contains annotated reference detailing the merits of the most important papers.