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Remote heart function monitoring: role of the CardioMEMS HF System

Vanoli, Emilio; D’Elia, Emilia; La Rovere, Maria T.; Gronda, Edoardo

Journal of Cardiovascular Medicine: July 2016 - Volume 17 - Issue 7 - p 518–523
doi: 10.2459/JCM.0000000000000367
Telemonitoring

Heart failure is a pandemic condition that is challenging cardiology today. The primary economical and social burden of this syndrome is hospitalization rate whose costs represent the highest ones within the entire healthcare management. Remote monitoring of physiological data, obtained through self-reporting via telephone calls or, automatically, using external devices is a potential novel approach to implement management of patients with heart failure and reduce hospitalization rates. Relatively large but, sometimes, contradicting information exists about the efficacy of remote monitoring via different noninvasive approaches to reduce the economical and social burden of heart failure management. This leaves still partly unaddressed this critical issue and generates the need for new approaches. In this context, the CardioMEMS device that can chronically monitor pulmonary pressures from a small microchip inserted transvenously in the pulmonary artery seems to represent an innovative tool to challenge hospitalization rates. Consecutive analyses from the CHAMPION study had indeed documented the efficacy of the CardioMEMS in the remote monitoring of the pulmonary circulation status of patients with heart failure and in providing adequate information to optimally manage such patients with the final result of a significant hospitalization rate reduction. The striking information here is that this appears to be true in patients with preserved left ventricular ejection fraction also. Overall, the reports from the CHAMPION study encourage the use of CardioMEMS but larger populations are needed to definitively prove its value.

aDepartment of Molecular Cardiology, University of Pavia, Pavia

bCardiovascular Department, Papa Giovanni XXIII Hospital, Bergamo

cDepartment of Cardiology, IRCCS, S. Maugeri Foundation, Montescano, Pavia

dDepartment of Cardiovascular Research, IRCCS MultiMedica, Sesto San Giovanni, Milan, Italy

Correspondence to Emilio Vanoli, MD, Department of Cardiovascular Research, IRCCS MultiMedica, Via Milanese 300, 20099 Sesto San Giovanni, Italy Tel: +39 3482638297; e-mail: emivano@gmail.com

Received 11 October, 2015

Revised 16 December, 2015

Accepted 16 January, 2016

© 2016 Italian Federation of Cardiology. All rights reserved.