Telemedicine in heart failure

Der Internist
Friedrich KöhlerK Köhler

Abstract

Improved outpatient care of heart failure patients is considered crucial to avoiding unplanned cardiovascular hospitalizations and reducing mortality. Making up for regional and rural differences in heart failure care poses a further challenge. Telemedical care as a supplement to outpatient point-of-care medicine by the general practitioner and medical specialist is considered relevant to implementing this goal. This article presents the technical and organizational basics of telemedical methods in outpatient heart failure care. Current evidence on the efficacy of telemedical co-management is also explained based on the results from the nine most important randomized studies on telemedicine in heart failure. Particular attention is paid to the TIM-HF2 study published in 2018, which showed the superiority of telemedical co-management in terms of mortality and morbidity following recent hospitalization for heart failure. Pre-stratified subgroup analysis revealed no significant interactions in terms of the primary endpoint between urban and rural regions. Scalability is required in order to translate the telemedical study concept from TIM-HF2 to a nationwide care program for all patients in Germany. Telemed5000 is the first projec...Continue Reading

References

Nov 18, 2010·The New England Journal of Medicine·Sarwat I ChaudhryHarlan M Krumholz
Feb 15, 2011·Lancet·William T AbrahamUNKNOWN CHAMPION Trial Study Group
Aug 23, 2011·Lancet·Stefan D AnkerWilliam T Abraham
Oct 11, 2011·International Journal of Cardiology·Friedrich KoehlerStefan D Anker
Dec 12, 2012·Journal of the American College of Cardiology·Mihai GheorghiadeRobert O Bonow
Aug 26, 2015·European Heart Journal·Martin R CowiePanos Vardas
Feb 10, 2016·JAMA Internal Medicine·Michael K OngUNKNOWN Better Effectiveness After Transition–Heart Failure (BEAT-HF) Research Group
Mar 18, 2016·European Heart Journal·Michael BöhmUNKNOWN OptiLink HF Study Investigators

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Citations

Aug 15, 2019·Herzschrittmachertherapie & Elektrophysiologie·T M HelmsUNKNOWN Arbeitsgruppe 33/Telemonitoring in der Deutschen Gesellschaft für Kardiologie, Herz- und Kreislaufforschung e. V. (DGK) und

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