Remote monitoring of pulmonary artery pressures by the CardioMEMS HF System is currently the only technique with proven safety and efficacy for preventing heart failure-related hospital admissions.
Does remote monitoring using invasive sensors prevent HF-related hospital admissions in patients with chronic heart failure?
Invasive remote monitoring of intracardiac pressures, particularly via the CardioMEMS system, is an effective strategy for averting hospitalizations in heart failure patients by detecting pre-symptomatic hemodynamic congestion.
The large and growing burden of chronic heart failure (CHF) on healthcare systems and economies is mainly caused by a high hospital admission rate for acute decompensated heart failure (HF). Several remote monitoring techniques have been developed for early detection of worsening disease, potentially limiting the number of hospitalizations. Over the last years, the scope has been shifting towards the relatively novel invasive sensors capable of measuring intracardiac filling pressures, because it is believed that hemodynamic congestion precedes clinical congestion. Monitoring intracardiac pressures may therefore enable clinicians to intervene and avert hospitalizations in a pre-symptomatic phase. Several techniques have been discussed in this review, and thus far, remote monitoring of pulmonary artery pressures (PAP) by the CardioMEMS (CardioMicroelectromechanical system) HF System is the only technique with proven safety as well as efficacy with regard to the prevention of HF-related hospital admissions. Efforts are currently aimed to further develop existing techniques and new sensors capable of measuring left atrial pressures (LAP). With the growing body of evidence and need for remote care, it is expected that remote monitoring by invasive sensors will play a larger role in HF care in the near future.
Radhoe et al. (2021) conducted a review in Chronic heart failure. Invasive sensors for remote monitoring (e.g., CardioMEMS HF System) was evaluated. Remote monitoring of pulmonary artery pressures by the CardioMEMS HF System is currently the only technique with proven safety and efficacy for preventing heart failure-related hospital admissions.