Herrmann Ester, Ecke A, Fichtlscherer S, Zeiher A M, Assmus B
Med. Klinik III, Kardiologie, Goethe Universität Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt, Deutschland.
Herzschrittmacherther Elektrophysiol. 2018 Dec;29(4):393-400. doi: 10.1007/s00399-018-0597-4. Epub 2018 Oct 10.
Patients with advanced heart failure suffer from frequent hospitalizations. Noninvasive hemodynamic telemonitoring for assessment of pulmonary filling pressure has been shown to reduce hospitalizations. In this article, our experience with possible control intervals and the standardization of the follow-up care of hemodynamic telemonitoring is reported.
A literature search and our own experience in the follow-up care concerning the implantable pulmonary artery pressure sensor for noninvasive hemodynamic telemonitoring in patients with advanced heart failure are presented.
For standardized follow-up care of heart failure patients with hemodynamic monitoring a specialized team consisting of a heart failure nurse and heart failure physician is essential. These teams should ideally work based on a unique standard operating procedure (SOP) to ensure standardized control intervals and a standardized approach to classical hemodynamic changes. However, all therapeutic recommendations have to be prescribed by a physician and must be modified if individually appropriate.
Optimized follow-up care for hemodynamically guided heart failure management requires the implementation of novel structures in the German health care system in order to transfer the clinical benefit from clinical trials into daily routine.
晚期心力衰竭患者经常住院。已证明，用于评估肺充血压力的无创血流动力学远程监测可减少住院次数。本文报告了我们在血流动力学远程监测可能的控制间隔和后续护理标准化方面的经验。
介绍了一项文献检索以及我们自己在晚期心力衰竭患者无创血流动力学远程监测植入式肺动脉压力传感器后续护理方面的经验。
对于接受血流动力学监测的心力衰竭患者的标准化后续护理，由一名心力衰竭护士和一名心力衰竭医生组成的专业团队至关重要。理想情况下，这些团队应根据独特的标准操作程序（SOP）开展工作，以确保标准化的控制间隔以及应对经典血流动力学变化的标准化方法。然而，所有治疗建议都必须由医生开具，并且在个体情况合适时必须进行调整。
血流动力学指导的心力衰竭管理的优化后续护理需要在德国医疗保健系统中实施新的结构，以便将临床试验中的临床益处转化为日常实践。
