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Title: A critical review on telemonitoring in heart failure
Authors: Gurne, Olivier
Conraads, Viviane
Missault, Luc
Mullens, Wilfried 
Vachiery, Jean-Luc
Van Mieghem, Walter 
Droogne, Walter
Pouleur, Anne-Catherine
Troisfontaine, Pierre
Huez, Sandrine
Nellessens, Eric
Peperstraete, Beatrice
Blouard, Philippe
Vanhaecke, Johan
Raes, David
Issue Date: 2012
Source: ACTA CARDIOLOGICA, 67 (4), p. 439-444
Abstract: Morbidity and mortality remain high in heart failure despite considerable progress achieved with medical therapy and electrical devices. A multidisciplinary approach is actually strongly recommended. In order to provide optimal care to the ever-growing population of patients with heart failure, telemonitoring has been proposed as a modality to improve usual care. The aim of this review is to provide an overview of the existing evidence on telemonitoring in HF. Despite two major meta-analyses with favourable results, two recent, large, multicentre, randomized controlled trials, one with a sophisticated technical remote telemonitoring approach (TIM-HF) in stable chronic HF and the other with a comprehensive telephone-based interactive voice-response monitoring (Tele-HF) in patients recently hospitalized for heart failure, have been performed and both failed to demonstrate a clinical benefit for telemonitoring. Newer technologies or other modalities, such as collaboration between a general practitioner and a heart failure clinic facilitated by telemonitoring should be further evaluated. Dedicated telemonitoring for heart failure may be a practical adjunct in selective centres and patients, on top of usual care, including education and a multidisciplinary approach. However, prior to being accepted as a standard of care, more evidence from large, randomized clinical trials is required.
Notes: [Gurne, Olivier] Catholic Univ Louvain, Clin Univ St Luc, B-1200 Brussels, Belgium. [Conraads, Viviane] UZ Antwerpen, Edegem, Belgium. [Missault, Luc] Acad Hosp St Jan, Brugge, Belgium. [Mullens, Wilfried; Van Mieghem, Walter] Ziekenhuis Oost Limburg, Genk, Belgium. [Vachiery, Jean-Luc; Huez, Sandrine] Univ Libre Brussels, Hop Erasme, B-1070 Brussels, Belgium. [Droogne, Walter; Vanhaecke, Johan] UZLeuven, Louvain, Belgium. [Troisfontaine, Pierre] CHR Citadelle, Liege, Belgium. [Nellessens, Eric] CHU Sart Tilman, B-4000 Liege, Belgium. [Peperstraete, Beatrice] CHU Brugmann, Brussels, Belgium. [Blouard, Philippe] Clin St Luc, Bouge, Belgium. [Raes, David] GZA Sint Augustinus, Antwerp, Belgium.
Keywords: Telemonitoring; heart failure;telemonitoring; heart failure
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ISSN: 0001-5385
e-ISSN: 1784-973X
DOI: 10.2143/AC.67.4.2170685
ISI #: 000308719800007
Category: A1
Type: Journal Contribution
Appears in Collections:Research publications

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