Integrating device monitoring into the infrastructure and workflow of routine practice.
Monitoring strategies for patients with heart failure vary. Physical assessment and patient reporting are often unreliable and inconsistent. Continuous physiologic information from implanted devices identifies the progression to congestion in patients with chronic heart failure earlier in the process than traditional methods. Common themes of a successful system will require a means to provide device-based data to interested providers who then can interpret the information in the context of either remote or face-to-face clinical assessment.
Adamson
Philip B
PB
Heart Failure Institute at Oklahoma Heart Hospital and Department of Physiology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.
D020000:Decision Support Systems, Clinical; D042241:Early Diagnosis; D015716:Electrocardiography, Ambulatory / Q000295:instrumentation; D006333:Heart Failure / Q000175:diagnosis* / Q000503:physiopathology; D006339:Heart Rate; D006801:Humans; D016247:Information Storage and Retrieval; D008498:Medical Record Linkage; D016347:Medical Records Systems, Computerized; D010138:Pacemaker, Artificial; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'