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 How cancer metastasis happens: Researchers reveal a key mechanism
19.01.2018 | Weill Cornell Medicine

nachricht Researchers identify new way to unmask melanoma cells to the immune system
17.01.2018 | Duke University Medical Center

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: Artificial agent designs quantum experiments

On the way to an intelligent laboratory, physicists from Innsbruck and Vienna present an artificial agent that autonomously designs quantum experiments. In initial experiments, the system has independently (re)discovered experimental techniques that are nowadays standard in modern quantum optical laboratories. This shows how machines could play a more creative role in research in the future.

We carry smartphones in our pockets, the streets are dotted with semi-autonomous cars, but in the research laboratory experiments are still being designed by...

Im Focus: Scientists decipher key principle behind reaction of metalloenzymes

So-called pre-distorted states accelerate photochemical reactions too

What enables electrons to be transferred swiftly, for example during photosynthesis? An interdisciplinary team of researchers has worked out the details of how...

Im Focus: The first precise measurement of a single molecule's effective charge

For the first time, scientists have precisely measured the effective electrical charge of a single molecule in solution. This fundamental insight of an SNSF Professor could also pave the way for future medical diagnostics.

Electrical charge is one of the key properties that allows molecules to interact. Life itself depends on this phenomenon: many biological processes involve...

Im Focus: Paradigm shift in Paris: Encouraging an holistic view of laser machining

At the JEC World Composite Show in Paris in March 2018, the Fraunhofer Institute for Laser Technology ILT will be focusing on the latest trends and innovations in laser machining of composites. Among other things, researchers at the booth shared with the Aachen Center for Integrative Lightweight Production (AZL) will demonstrate how lasers can be used for joining, structuring, cutting and drilling composite materials.

No other industry has attracted as much public attention to composite materials as the automotive industry, which along with the aerospace industry is a driver...

Im Focus: Room-temperature multiferroic thin films and their properties

Scientists at Tokyo Institute of Technology (Tokyo Tech) and Tohoku University have developed high-quality GFO epitaxial films and systematically investigated their ferroelectric and ferromagnetic properties. They also demonstrated the room-temperature magnetocapacitance effects of these GFO thin films.

Multiferroic materials show magnetically driven ferroelectricity. They are attracting increasing attention because of their fascinating properties such as...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

10th International Symposium: “Advanced Battery Power – Kraftwerk Batterie” Münster, 10-11 April 2018

08.01.2018 | Event News

See, understand and experience the work of the future

11.12.2017 | Event News

Innovative strategies to tackle parasitic worms

08.12.2017 | Event News

 
Latest News

Let the good tubes roll

19.01.2018 | Materials Sciences

How cancer metastasis happens: Researchers reveal a key mechanism

19.01.2018 | Health and Medicine

Meteoritic stardust unlocks timing of supernova dust formation

19.01.2018 | Physics and Astronomy

VideoLinks
B2B-VideoLinks
More VideoLinks >>>