Division of Cardiology, Penn State Health Milton S. Hershey Medical Center, Penn State College of Medicine, H047, 500 University Drive, Hershey, PA, 17033, USA.
Division of Internal Medicine, Penn State Health Milton S. Hershey Medical Center, Penn State College of Medicine, Hershey, PA, USA.
Curr Cardiol Rep. 2020 Jun 19;22(8):68. doi: 10.1007/s11886-020-01309-x.
This review will describe the process of remote monitoring in the treatment of heart failure and the clinical trials for different modalities of data collection.
Small studies monitoring weights, sometimes with other parameters, suggested a significant outcome benefit in meta-analysis. However, this has not been seen in larger studies. Clinical trials of remote monitoring using hemodynamic parameters seems to lead to improved outcomes, with more studies underway. Recently, multi-parameter methods with wearable or implantable devices have shown promise in detecting heart failure. The impact on clinical outcomes is being assessed. When using parameters such as daily weights, remote monitoring for heart failure has not been demonstrated to be broadly beneficial, while remote monitoring of hemodynamic parameters to guide heart failure therapy has met with initial success. Methods of combining multiple physiologic measurements appear to accurately detect worsening heart failure, and clinical trials are underway to assess the impact.
本文将描述心力衰竭治疗中的远程监测过程，以及不同数据采集方式的临床试验。
监测体重的小型研究，有时还监测其他参数，荟萃分析显示出显著的治疗效果。然而，更大规模的研究并未观察到这一现象。使用血流动力学参数的远程监测临床试验似乎带来了更好的结果，更多的研究正在进行中。最近，使用可穿戴或植入设备的多参数方法在检测心力衰竭方面显示出了良好的前景。目前正在评估其对临床结果的影响。当使用日常体重等参数时，远程监测心力衰竭并未被广泛证明有益，而远程监测血流动力学参数以指导心力衰竭治疗已取得初步成功。结合多种生理测量方法的方法似乎可以准确地检测心力衰竭恶化，并且正在进行临床试验以评估其影响。
