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Technology-Assisted Congestive Heart Failure Care

  • Self-Care and Health Outcomes (T Jaarsma, Section Editor)
  • Published:
Current Heart Failure Reports Aims and scope Submit manuscript

Abstract

The interface between eHealth technologies and disease management in chronic conditions such as chronic heart failure (CHF) has advanced beyond the research domain. The substantial morbidity, mortality, health resource utilization and costs imposed by chronic disease, accompanied by increasing prevalence, complex comorbidities and changing client and health staff demographics, have pushed the boundaries of eHealth to alleviate costs whilst maintaining services. Whilst the intentions are laudable and the technology is appealing, this nonetheless requires careful scrutiny. This review aims to describe this technology and explore the current evidence and measures to enhance its implementation.

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Abbreviations

ACH:

All-cause hospitalization

ACM:

All-cause mortality

AF:

Atrial fibrillation

AHF:

Acute heart failure

CAS:

Complex adaptive systems

CDMP:

Chronic disease management programmes

CHF:

Congestive heart failure

CRT:

Cardiac resynchronization therapy

eHealth:

Electronic health

ePAD:

Estimated pulmonary artery diastolic

HFDMP:

Heart failure disease management programmes

HFE:

Heart failure decompensation events

HFH:

Heart failure hospitalization

HHC:

Home health care

HRV:

Heart rate variability

ICD:

Implantable cardiac defibrillators

ICT:

Information and communication technologies

IHM:

Implantable haemodynamic monitoring

LAP:

Left atrial pressure

MACE:

Major adverse cardiovascular event

MV:

Minute ventilation

PA:

Pulmonary artery

QOL:

Quality of life

RCT:

Randomized controlled trials

RV:

Right ventricular

SDAAM:

Atrial-to-atrial intervals

SOP:

Standard operating protocols

TLM:

Telemedicine, home telemonitoring, telemonitoring, telehealth, telemetry or telesurveillance. Wireless technology for remote follow-up

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Compliance With Ethics Guidelines

Conflict of Interest

Pupalan Iyngkaran declares that he has no conflict of interest.

Samia R. Toukhsati declares that he has no conflict of interest.

Niranjan Biddargardi is the director of goACT Pty Ltd (www.goact.co) and holds shares in goACT Pty Ltd.

Hendrik Zimmet declares that he has no conflict of interest.

John J. Atherton declares that he has no conflict of interest.

David L. Hare declares that he has no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Disclosures

All co-authors have won independent and governmental research funding. Several members provide counsel to pharmaceuticals. None pose a conflict of interest for this short paper. Dr Iyngkaran is supported by the Heart Foundation of Australia Health Professional Scholarship.

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Authors and Affiliations

  1. NT Medical School, Flinders University, Darwin, Australia

    P. Iyngkaran

  2. Austin Health, The Ohio State University, Columbus, OH, 43210, USA

    S. R. Toukhsati

  3. eHealth Research, Mental Health Observatory Research Unit, Country Health SALHN, Medical School Flinders University, Margaret Tobin Centre GPO, Box 2100, Adelaide, 5001, SA, Australia

    N. Biddagardi

  4. Epworth Hospital Richmond, Richmond, Australia

    H. Zimmet

  5. Royal Brisbane and Women’s Hospital, University of Queensland, Queensland, Australia

    J. J.Atherton

  6. Queensland University of Technology, Queensland, Australia

    J. J.Atherton

  7. Cardiovascular Research, Heart Failure Services, Austin Health, University of Melbourne, Melbourne, Australia

    D. L. Hare

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  1. P. Iyngkaran
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  2. S. R. Toukhsati
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  3. N. Biddagardi
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  4. H. Zimmet
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  6. D. L. Hare
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Correspondence to P. Iyngkaran.

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This article is part of the Topical Collection on Self-Care and Health Outcomes

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Iyngkaran, P., Toukhsati, S.R., Biddagardi, N. et al. Technology-Assisted Congestive Heart Failure Care. Curr Heart Fail Rep 12, 173–186 (2015). https://doi.org/10.1007/s11897-014-0251-3

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