Key result
Remote monitoring in heart failure patients with atrial fibrillation did not reduce mortality and was associated with increased hospitalizations in those with persistent AF.
Why the study?
Does remote monitoring improve mortality and hospitalization risk in heart failure patients with CIEDs and device-detected atrial fibrillation?
Does remote monitoring improve mortality and hospitalization risk in heart failure patients with CIEDs and device-detected atrial fibrillation?
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While remote monitoring did not improve mortality and increased hospitalizations in persistent AF patients in the REM-HF trial, the absence of alert-based interventions and tracking of anticoagulation initiation limits definitive conclusions regarding its utility for AF management in heart failure.
Boriani et al. (2020) conducted an editorial in Heart failure and atrial fibrillation (n=1,650). Remote monitoring vs. Usual care was evaluated on Death from any cause or unplanned hospitalization for cardiovascular reasons. Remote monitoring in heart failure patients with atrial fibrillation did not reduce mortality and was associated with increased hospitalizations in those with persistent AF.
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