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

l 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


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    European Society of Cardiology
    Source:Eurekalert

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