Navigation Links
Individualized treatment for heart failure is rarely available outside hospital
Date:5/30/2009

Telemonitoring systems, by which the symptoms of heart failure can be remotely assessed, now provide a strategy for the improved personalised care of patients, according to Professor John Cleland from the University of Hull, UK.1 He told Heart Failure Congress 2009 that the management of heart failure is complex but most effective when tailored to the individual patients' needs and condition.2 "Unfortunately," he added, "the resources required to offer this tailored treatment outside a hospital setting are generally not available. Current services provide, at best, only a crude attempt to deliver long-term, personalised healthcare, but telemonitoring provides a strategy which could radically change this situation."

Professor Cleland explained that the first generation of home monitoring devices for heart failure were relatively simple. They were designed to measure symptoms, weight, heart rate and rhythm, and blood pressure. But, he said, "from the patient's perspective, they were relatively unrewarding since the systems provide little in the way of advice or feedback. Nonetheless, a series of randomised controlled trials have shown a reduction in mortality and in days spent in hospital, although not in the rate of hospitalisation."

Ongoing trials of second generation equipment, he continued, reflect the same measure of symptom assessment but a more interactive experience for the patient. "These newer systems," he explained, "provide education, feedback to patients on their results, treatment and appointment reminders and a limited amount of advice on adjusting therapy. They are likely to deliver even greater health gains than first generation systems."

And now, further generations of telemonitoring systems are being developed, including:

  • Implanted systems ranging form a large pacemaker-like device which simply measures cardiac output and filling pressures, to standard pacemakers and defibrillators with additional telemonitoring capability, to devices that can be implanted percutaneously and don't require batteries. These may or may not be linked to external sensors for measuring weight and blood pressure.
  • Ingested systems as an integral part of the patient's daily therapy
  • New sensors which can measure heart, lung and vascular function and/or fluid retention more accurately.
  • New systems which empower the patient, allowing them to make their own decisions about their care, with a distant supervisory role for a nurse or doctor. By including voluntary services and informal carers, this can increase rather decrease social inclusion.

However, Professor Cleland added that such a rapid technical evolution has run far ahead of any service evolution, and warned that conventional clinical trials are likely to underestimate the benefits of these new telehealth systems once integrated into an efficient service. Future clinical trials, he said, should ensure service integration and define the "control" intervention: "If service integration is poor or insufficient resources are invested in the control group, then even an effective technology will fail."

A meta-analysis of 14 randomised controlled trials (4264 patients) of remote monitoring found that programmes for chronic heart failure which included some form of remote monitoring had a positive effect on clinical outcomes in community-dwelling patients with chronic heart failure.3


'/>"/>

Contact: ESC Press Office
press@escardio.org
33-062-241-8492
European Society of Cardiology
Source:Eurekalert

Related medicine news :

1. Genomic Healths Oncotype DX(R) Colon Cancer Test Predicts Individualized Recurrence Risk for Stage II Colon Cancer Patients
2. Individualized stroke treatment available for patients, though underutilized
3. Level 2 Life Coaching Offers National Life-Changing Services via Individualized Phone and On-line Coaching
4. An individualized approach to breast cancer treatment
5. Molecular imaging enables earlier, individualized treatment of thyroid cancer
6. Every patient is unique: Individualized therapies for non-Hodgkins lymphoma
7. Minimally invasive stroke treatment produces better patient outcomes than surgical operation
8. Researchers develop light-treatment device to improve sleep quality in the elderly
9. New Fast and Precise Treatment Planning System Among Varian Medical Systems Highlights at American Brachytherapy Society 2009 Meeting
10. Bausch & Lomb Receives FDA Approval of Besivance(TM), New Topical Ophthalmic Antibacterial for the Treatment of Bacterial Conjunctivitis (Pink Eye)
11. Delaware Urologic Associate's, Dr. Peter J. Muench, Presents Advances in Incontinence Treatment with a New Perspective and Outlook
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... Creek, Michigan (PRWEB) , ... June 26, 2016 , ... ... joined as sponsor of the 2016 Cereal Festival and World’s Longest Breakfast Table in ... in honor of the city’s history as home to some of the world’s leading ...
(Date:6/26/2016)... Carolina (PRWEB) , ... June 26, 2016 , ... ... of a new product that was developed to enhance the health of felines. The ... centuries. , The two main herbs in the PawPaws Cat Kidney Support ...
(Date:6/26/2016)... , ... June 26, 2016 , ... ... once they have been diagnosed with endometriosis. These women need a treatment plan ... require a comprehensive approach that can help for preservation of fertility and ultimately ...
(Date:6/25/2016)... TX (PRWEB) , ... June 25, 2016 , ... Austin ... of the American College of Mohs Surgery and to Dr. Russell Peckham for medical ... and highly effective treatment for skin cancer. The selective fellowship in Mohs Micrographic Surgery ...
(Date:6/25/2016)... ... June 25, 2016 , ... "With 30 hand-drawn hand gesture animations, FCPX ... Austin - CEO of Pixel Film Studios. , ProHand Cartoon’s package transforms over ... Cut Pro X . Simply select a ProHand generator and drag it above media ...
Breaking Medicine News(10 mins):
(Date:6/26/2016)... OTTAWA, Ontario , June 27, 2016  VMS ... the Company,s Board will take whatever measures required to ... the Company,s stock which is currently listed on the ... S Wexler, Company Chairman and CEO, "We are seeing ... be difficult to understand, not only by the Company, ...
(Date:6/24/2016)... June 24, 2016  Collagen Matrix, Inc., ("Collagen ... and manufacturing of collagen and mineral based medical ... that Bill Messer has joined the ... further leverage the growing portfolio of oral surgery, ... Bill joins the Collagen Matrix executive team ...
(Date:6/24/2016)... DUBLIN , June 24, 2016 ... and Markets has announced the addition of the ... their offering. ... products and provides an updated review, including its applications ... covering the total market, which includes three main industries: ...
Breaking Medicine Technology: