The utility of novel non-invasive technologies for remote hemodynamic monitoring in chronic heart failure

被引：8
|
作者：
Mabote, Thato [1 ]
Wong, Kenneth [1 ]
Cleland, John G. F. [2 ]
机构：
[1] Castle Hill Hosp, Hull York Med Sch, Dept Acad Cardiol, Kingston Upon Hull HU16 5JQ, Yorks, England
[2] Harefield Hosp, Imperial Coll, Heart Sci Ctr, Dept Cardiol, London SW3 6NP, England
来源：
EXPERT REVIEW OF CARDIOVASCULAR THERAPY | 2014年 / 12卷 / 08期
关键词：
bio-impedance; cardiac output; heart failure; telemonitoring;
D O I：
10.1586/14779072.2014.935339
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Monitoring a patient's hemodynamic status may be a revolutionary way to aid a 'health maintenance' strategy in which the physician strives to therapeutically keep the patient in an ideal hemodynamic range. Currently, home telemonitoring employs a 'crisis-prevention' approach. This strategy is still based on easily acquired measures such as heart rate, weight and blood pressure-measurements that are useful to help implement guideline-directed therapy but provide little information about impending decompensation or the risk of hospitalisation. Current systems provide limited information to personalize and adapt medication therapy for heart failure. Several innovative technologies that can remotely monitor estimates of cardiovascular hemodynamics, such as cardiac index, systemic vascular resistance, augmentation index and added heart sounds may enable earlier detection of heart failure decompensation. This editorial presents an overview of the innovative technologies that are available for non-invasive hemodynamic monitoring and maybe adapted for home telemonitoring for chronic heart failure. © 2014 Informa UK, Ltd.
引用
收藏
页码：923 / 928
页数：6
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