Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Telemonitoring of multiple vital parameters in chronic heart failure

06.09.2005


Chronic heart failure (CHF) is a frequent syndrome with an increasing prevalence. It is a frequent cause of impeding symptoms, has a negative prognosis and absorbs about two percent of the budgets of health-care systems in the industrialized nations.



Optimal management of patients with chronic heart failure has to detect emerging symptoms of a beginning hemodynamic imbalance in time and to administer an appropriate therapy in order to avoid decompensation and hospital admission. Telemonitoring of physiological and clinical parameters supplies valuable information to improve health care of these patients.

The TeleMedical Centre of Brandenburg provides continuous telemonitoring of multiple disease-relevant parameters to 40 patients since more than 1 year. A user-friendly home based electronic device registers weight, blood pressure, heart rate and rhythm by means of ECG, ventilation frequency and oxygen saturation of the blood. In addition, the patient uses a schematic code to enter details on his subjective state of health, changes of medication and an optional contact request. Once per day the information is sent via e-mail to the Telemedical Centre where it is evaluated. If the critical limits of individually defined parameters are crossed the primary care provider is promptly notified by fax. So treatment can be adjusted before heartfailure deteriorates and hospital admissions becomes necessary.


Feasibility and effectiveness of the continuous telemonitoring of multiple disease-relevant parameters were evaluated. Patients with CHF (NYHA III-IV) with at least one hospital admission due to acute decompensation within in the preceding year were enrolled in our study. After receiving an in hospital optimum treatment telemonitoring was started immediately after discharge. Patients were supplied with a Telemonitoring System in order to record the above described multiple parameters daily. Data were monitored daily and assessed by specialized physicians whether defined thresholds values were exceeded. An information about imminent hemodynamic imbalance was immediately sent to the responsible general practitioner by fax-transmission.

Forty patients (32 men, 8 women) with a mean age was 65 plus or minus 10,5 years (men 64 plus or minus 10, women 67 plus or minus 10,5) participated. Etiology of CHF was coronary heart disease, cardiomyopathie, hypertension and others. Total number of data-transmissions was 9686. Practitioners were informed about imminent hemodynamic imbalance because of weight gain, sudden changes in heart rhythm (paroxysmal atrial fibrillation, bradycardia, non sustaining VT) or patients assessment of critical symptoms. A change of therapy and stabilization of hemodynamic imbalance without re-admission to hospital could be observed in the majority of cases. Patients reported about a gain in the feeling of security and possibility to manage their severe disease.

Telemonitoring of multiple vital parameters of patients with chronic heart disease is feasible. Even elder patients can handle a well designed modern technological device. Symptoms of hemodynamic imbalance can be registered in time and responsible practitioners respond to urgently transmitted information. Health care of patients with chronic heart failure can be improved and hospital re-admissions can be avoided. Further investigations are necessary to determine effects of continuous telemonitoring of multiple disease-relevant parameters on long time prognosis and mortality.

Gina Dellios | EurekAlert!
Further information:
http://www.escardio.es

More articles from Health and Medicine:

nachricht A promising target for kidney fibrosis
21.04.2017 | Brigham and Women's Hospital

nachricht Stem cell transplants: activating signal paths may protect from graft-versus-host disease
20.04.2017 | Technische Universität München

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Deep inside Galaxy M87

The nearby, giant radio galaxy M87 hosts a supermassive black hole (BH) and is well-known for its bright jet dominating the spectrum over ten orders of magnitude in frequency. Due to its proximity, jet prominence, and the large black hole mass, M87 is the best laboratory for investigating the formation, acceleration, and collimation of relativistic jets. A research team led by Silke Britzen from the Max Planck Institute for Radio Astronomy in Bonn, Germany, has found strong indication for turbulent processes connecting the accretion disk and the jet of that galaxy providing insights into the longstanding problem of the origin of astrophysical jets.

Supermassive black holes form some of the most enigmatic phenomena in astrophysics. Their enormous energy output is supposed to be generated by the...

Im Focus: A Quantum Low Pass for Photons

Physicists in Garching observe novel quantum effect that limits the number of emitted photons.

The probability to find a certain number of photons inside a laser pulse usually corresponds to a classical distribution of independent events, the so-called...

Im Focus: Microprocessors based on a layer of just three atoms

Microprocessors based on atomically thin materials hold the promise of the evolution of traditional processors as well as new applications in the field of flexible electronics. Now, a TU Wien research team led by Thomas Müller has made a breakthrough in this field as part of an ongoing research project.

Two-dimensional materials, or 2D materials for short, are extremely versatile, although – or often more precisely because – they are made up of just one or a...

Im Focus: Quantum-physical Model System

Computer-assisted methods aid Heidelberg physicists in reproducing experiment with ultracold atoms

Two researchers at Heidelberg University have developed a model system that enables a better understanding of the processes in a quantum-physical experiment...

Im Focus: Glacier bacteria’s contribution to carbon cycling

Glaciers might seem rather inhospitable environments. However, they are home to a diverse and vibrant microbial community. It’s becoming increasingly clear that they play a bigger role in the carbon cycle than previously thought.

A new study, now published in the journal Nature Geoscience, shows how microbial communities in melting glaciers contribute to the Earth’s carbon cycle, a...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

Expert meeting “Health Business Connect” will connect international medical technology companies

20.04.2017 | Event News

Wenn der Computer das Gehirn austrickst

18.04.2017 | Event News

7th International Conference on Crystalline Silicon Photovoltaics in Freiburg on April 3-5, 2017

03.04.2017 | Event News

 
Latest News

New quantum liquid crystals may play role in future of computers

21.04.2017 | Physics and Astronomy

A promising target for kidney fibrosis

21.04.2017 | Health and Medicine

Light rays from a supernova bent by the curvature of space-time around a galaxy

21.04.2017 | Physics and Astronomy

VideoLinks
B2B-VideoLinks
More VideoLinks >>>