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0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
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01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
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Prevention of heart failure hospitalization based on remote monitoring and early intervention
Session:
SESSÃO DE POSTERS 23 - INSUFICIÊNCIA CARDÍACA E HIPERTENSÃO PULMONAR: DUAS ÁREAS DE INTENSOS AVANÇOS CIENTÍFICOS
Speaker:
David Marques
Congress:
CPC 2025
Topic:
C. Arrhythmias and Device Therapy
Theme:
09. Device Therapy
Subtheme:
09.4 Home and Remote Patient Monitoring
Session Type:
Cartazes
FP Number:
---
Authors:
David Marques; Sofia Jacinto; Hélder Santos; Madalena Coutinho; Guilherme Portugal; Bruno Valente; Ana Lousinha; Pedro Silva Cunha; Catarina Oliveira; Rui Cruz Ferreira; Mário Martins Oliveira
Abstract
<p><strong>Background:</strong> Remote monitoring (RM) has emerged as a critical tool in managing heart failure (HF) patients (P). HF algorithms can identify P with high risk of 30-day decompensation by combining parameters such as thoracic impedance, arrhythmia burden, percentage of right ventricular pacing, night ventricular rate, or patient activity levels. A multidisciplinary approach in RM leads to earlier therapeutic interventions, possibly impacting patient outcomes. We analyzed data from patients with HF and cardiac electronic implantable devices, under RM, focusing on high-risk alerts and examining the relationship between therapeutic interventions and hospitalization outcomes.</p> <p><strong>Methods:</strong> The sample included 49 P (69.4% male, median age 76 years), with various HF etiologies. A single-center retrospective analysis of high-risk alerts using two different algorithms (Triage HF, Medtronic®; and HeartLogic, Boston Scientific®) was conducted. We sought to study 30-day hospitalizations in P with high-risk alerts and their correlation with therapeutic interventions using chi-square tests.</p> <p><strong>Results:</strong> There were 55 high-risk alerts from January 2023 to November 2024. Of these high-risk alerts, 72.7% were related to increased thoracic impedance, 56.4% to low patient activity, and 52.7% to increased night ventricular rates. Therapeutic interventions occurred in 56.4% of these cases, while 43.6% were maintained under regular surveillance. Of all interventions, 71% were based on increasing diuretics. In two years, there were only 2 hospitalizations in 30 day follow-up of the alerts, suggesting that most interventions were successful and the surveillance strategy was well identified and applied.</p> <p><strong>Conclusion:</strong> RM provides valuable insights into HF decompensation risk, with congestion and low activity being predominant triggers for high-risk alerts. From a total of 55 high-risk alerts only 3.6% required hospitalization. This suggests the important role of a RM programme in HF P in lowering hospitalizations.</p>
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