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Implanted haemodynamic telemonitoring devices to guide management of heart failure: a review and meta-analysis of randomised trials

Background and aims Congestion is a key driver of morbidity and mortality in heart failure. Implanted haemodynamic monitoring devices might allow early identification and management of congestion. Here, we provide a state-of-the-art review of implanted haemodynamic monitoring devices for patients wi...

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Bibliographic Details
Published in:Clinical research in cardiology 2023-08, Vol.112 (8), p.1007-1019
Main Authors: Iaconelli, Antonio, Pellicori, Pierpaolo, Caiazzo, Elisabetta, Rezig, Asma O. M., Bruzzese, Dario, Maffia, Pasquale, Cleland, John G. F.
Format: Article
Language:English
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Summary:Background and aims Congestion is a key driver of morbidity and mortality in heart failure. Implanted haemodynamic monitoring devices might allow early identification and management of congestion. Here, we provide a state-of-the-art review of implanted haemodynamic monitoring devices for patients with heart failure, including a meta-analysis of randomised trials. Methods and results We did a systematic search for pre-print and published trials in Medline, Embase, and the Cochrane Central Register of Controlled Trials (CENTRAL) on the 22nd of September 2021. We included randomised trials that compared management with or without information from implanted haemodynamic monitoring devices for patients with heart failure. Outcomes selected were hospitalisation for heart failure and all-cause mortality. Changes in treatment associated with haemodynamic monitoring resulted in only a small reduction in mean pulmonary artery pressure (typically 
ISSN:1861-0684
1861-0692
1861-0692
DOI:10.1007/s00392-022-02104-0