Why the study?
Remote monitoring devices may reduce heart failure burden by detecting early decompensation, but few trials have addressed practical implementation aspects in real-world clinical practice.
Provides a pragmatic framework for implementing heart failure remote monitoring devices in real-world clinical practice.
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Supports pragmatic adoption of remote monitoring in heart failure; leaves open prospective trials to confirm outcomes.
Heart failure (HF) is a significant clinical and financial burden worldwide. Remote monitoring (RM) devices capable of identifying early physiologic changes in decompensation have the potential to reduce the HF burden. However, few trials have discussed at length the practical aspects of implementing RM in real-world clinical practice. The present paper reviews current RM devices and clinical trials, focusing on patient populations, outcomes, data collection, storage, and management, and describes the implementation of an RM device in clinical practice, providing a pragmatic and adaptable framework.
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Kobe et al. (2023) studied this question.
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