Key result
Ambulatory management of worsening HF via remote monitoring and outpatient diuretics provides an effective alternative to hospitalization.
Why the study?
Innovations in care delivery models have allowed a transition of worsening heart failure management from the acute care setting to the ambulatory setting.
Ambulatory management of worsening heart failure through remote monitoring and outpatient diuretic administration offers a promising strategy to reduce hospitalizations and healthcare costs.
May reduce HF hospitalizations via ambulatory care; leaves open need for randomized confirmation before practice change.
Heart failure (HF) is a highly prevalent and morbid disease in the USA. The chronic, progressive course of HF is defined by periodic exacerbations of symptoms, described as 'worsening heart failure' (WHF). Previously, episodes of WHF have required hospitalization for intravenous diuretics; however, recent innovations in care delivery models for patients with HF have allowed a transition from the acute care setting to the ambulatory setting. The development of remote monitoring strategies, including device-based algorithms and implantable haemodynamic monitoring systems, has facilitated more advanced surveillance of patients, aiming to prevent the clinical deterioration that leads to hospitalization. Additionally, the establishment of multidisciplinary HF clinics has provided the setting and resources for the outpatient treatment of WHF, specifically the administration of intravenous diuretics. Here we review the current state of ambulatory HF management, including mechanisms for patient monitoring and treatment, and outline future opportunities for outpatient management of this patient population.
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Wand et al. (2021) conducted a review in Worsening Heart Failure. Ambulatory management (remote monitoring and outpatient diuretics) was evaluated. Ambulatory management of worsening heart failure using remote monitoring and outpatient diuretic administration provides an effective alternative to hospitalization.
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