2017 Monitoring and Teletransmission of Medical-Data in Heart Failure. First Report

Number of analyses taken collectively have provided evidence that RPM using non-invasive approach reduce relative risk of all-cause mortality by 15 - 40%, and the risk of HF-related hospitalizations by 14 - 36%. Improvement of hospitalization was greater in stable as compared to newly decompensated patients and approached 30%, reduction of mortality was more pronounced in patients newly (< 28 days) discharged from the hospital due to acute episode of HF and was estimated at 38%. These techniques were also cost-effective. Optimal RPM techniques in HF are still not established. The large diversity of HF phenotypes likely differing with respect to their pathophysiology precludes one common solution to prevent HF decompensation and hospitalizations. Rather, various individually tailored techniques should be searched for. The implantable cardiac device companies have their own databases and follow-up systems. Users of the platform are assigned to support levels corresponding with their duties and knowledge. We determined a model of cooperation between the medical personnel in the monitoring and care of patients. The users have their own lists of cases to manage. The incidents or follow-up transmissions are the cases to manage. The frst-line/primary support level analyzes the data and determines a course of action.