Key result
Telemedicine aids HF monitoring and prevents decompensation despite unclear morbidity and mortality benefits.
Why the study?
Limited access to reevaluations and outpatient appointments restricts modern heart failure therapies, prompting an evaluation of telemedicine evidence and unresolved issues.
Does telemedicine improve care and prevent decompensation in patients with heart failure?
Does telemedicine improve care and prevent decompensation in patients with heart failure?
Telemedicine offers significant benefits for heart failure management, including faster medication titration and prevention of decompensation, though some implementation questions remain.
May support HF monitoring to prevent decompensation; leaves open morbimortality effects of advanced telemedicine.
BACKGROUND: Heart failure is the leading cause of cardiac-related hospitalizations. Limited access to reevaluations and outpatient appointments restricts the application of modern therapies. Telemedicine has become an essential resource in the healthcare system because of its countless benefits, such as higher and more frequent appointments and faster titration of medications. This narrative review aimed to demonstrate the evidence and unresolved issues related to the use of telemedicine in patients with heart failure. No studies have examined heart failure prevention; however, several studies have addressed the prevention of decompensation with positive results. Telemedicine can be used to evaluate all patients with heart failure, and many telemedicine platforms are available. Several strategies, including both noninvasive (phone calls, weight measurement, and virtual visits) and invasive (implantable pulmonary artery catheters) strategies can be implemented. Given these benefits, telemedicine is highly desirable, particularly for vulnerable groups. Although some questions remain unanswered, the development of new technologies can complement remote visits and improve patient care.
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Accorsi et al. (2024) conducted a review in Heart failure. Telemedicine vs. Traditional care was evaluated. Telemedicine aids in the close monitoring and prevention of decompensation in patients with heart failure, though its impact on morbimortality with cutting-edge technology needs to be better studied.
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