Artikel ; Online: Daily ambulatory remote monitoring system for drug escalation in chronic heart failure with reduced ejection fraction: pilot phase of DAVID-HF study.
European heart journal. Digital health
2022 Band 3, Heft 2, Seite(n) 284–295
Abstract: Aims: Underutilization of guideline-directed heart failure with reduced ejection fraction (HFrEF) medications contributes to poor outcomes.: Methods and results: A pilot study to evaluate the safety and efficacy of a home-based remote monitoring ... ...
Abstract | Aims: Underutilization of guideline-directed heart failure with reduced ejection fraction (HFrEF) medications contributes to poor outcomes. Methods and results: A pilot study to evaluate the safety and efficacy of a home-based remote monitoring system for HFrEF management was performed. The system included wearable armband monitors paired with the smartphone application. An HFrEF medication titration algorithm was used to adjust medication daily. The primary endpoint was HFrEF medication utilization at 120 days. Twenty patients (60.5 ± 8.2 years, men: 85%) with HFrEF were recruited. All received angiotensin-converting enzyme inhibitor (ACEI)/angiotensin receptor blocker (ARB)/angiotensin receptor-neprilysin inhibitor (ARNI) at recruitment; 45% received ≥50% maximal targeted dose (MTD) with % MTD of 44.4 ± 31.7%. At baseline, 90 and 70% received beta-adrenergic blocker and mineralocorticoid receptor antagonist (MRA), 35% received ≥50% MTD beta-adrenergic blocker with % MTD of 34.1 ± 29.6%, and 25% received ≥50% MTD MRA with % MTD of 25.0 ± 19.9%. At 120 days, 70% received ≥50% MTD ACEI/ARB/ARNI ( Conclusion: Heart failure with reduced ejection fraction medication escalation with remote monitoring appeared feasible. |
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Sprache | Englisch |
Erscheinungsdatum | 2022-05-07 |
Erscheinungsland | England |
Dokumenttyp | Journal Article |
ISSN | 2634-3916 |
ISSN (online) | 2634-3916 |
DOI | 10.1093/ehjdh/ztac024 |
Datenquelle | MEDical Literature Analysis and Retrieval System OnLINE |
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