par Gurné, Olivier;Conraads, Viviane V.M.;Missault, Luc;Mullens, Wilfried;Vachiery, Jean-Luc
;Van Mieghem, Walter;Droogne, Walter;Pouleur, Anne-Catherine;Troisfontaine, Pierre;Huez, Sandrine
;Nellessens, Eric;Peperstraete, Béatrice
;Blouard, Philippe;Vanhaecke, Johan;Raes, David 
Référence Acta cardiologica, 67, 4, page (439-444)
Publication Publié, 2012




Référence Acta cardiologica, 67, 4, page (439-444)
Publication Publié, 2012
Article révisé par les pairs
Résumé : | Morbidity and mortality remain high in heart failure despite considerable progress achieved with medical therapy and electrical devices. A multidisciplinary approach is actually strongly recommended. In order to provide optimal care to the ever-growing population of patients with heart failure, telemonitoring has been proposed as a modality to improve usual care. The aim of this review is to provide an overview of the existing evidence on telemonitoring in HF. Despite two major meta-analyses with favourable results, two recent, large, multicentre, randomized controlled trials, one with a sophisticated technical remote telemonitoring approach (TIM-HF) in stable chronic HF and the other with a comprehensive telephone-based interactive voice-response monitoring (Tele-HF) in patients recently hospitalized for heart failure, have been performed and both failed to demonstrate a clinical benefi t for telemonitoring. Newer technologies or other modalities, such as collaboration between a general practitioner and a heart failure clinic facilitated by telemonitoring should be further evaluated. Dedicated telemonitoring for heart failure may be a practical adjunct in selective centres and patients, on top of usual care, including education and a multidisciplinary approach. However, prior to being accepted as a standard of care, more evidence from large, randomized clinical trials is required. |