Impedance-based remote monitoring in patients with heart failure and concomitant chronic kidney disease.
Chronic kidney disease
Heart failure
Implantable cardioverter-defibrillator
Remote monitoring
Telemedicine
Journal
ESC heart failure
ISSN: 2055-5822
Titre abrégé: ESC Heart Fail
Pays: England
ID NLM: 101669191
Informations de publication
Date de publication:
Oct 2023
Oct 2023
Historique:
received:
17
03
2023
accepted:
03
04
2023
medline:
18
3
2024
pubmed:
4
8
2023
entrez:
4
8
2023
Statut:
ppublish
Résumé
Remote monitoring (RM) of thoracic impedance represents an early marker of pulmonary congestion in heart failure (HF). Chronic kidney disease (CKD) may promote fluid overload in HF patients. We investigated whether concomitant CKD affected the efficacy of impedance-based RM in the OptiLink HF trial. Among HF patients included in the OptiLink HF trial, time to the first cardiovascular hospitalization and all-cause death according to the presence of concomitant CKD was analysed. CKD was defined as GFR < 60 mL/min/1.73 m The presence of CKD in HF patients led to a higher number of telemedical alert transmissions and increased the risk of the primary endpoint. Inappropriate handling of alert transmission was commonly observed in patients with chronic HF and CKD. Guidance of HF management by impedance-based RM significantly decreased primary event rates in patients without CKD, but not in patients with CKD.
Identifiants
pubmed: 37537796
doi: 10.1002/ehf2.14387
pmc: PMC10567629
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3011-3018Subventions
Organisme : Deutsche Forschungsgemeinschaft (Sonderforschungsbereich (SFB) TTR 219, S-01)
Organisme : Deutsche Herzstiftung
Organisme : Deutsche Gesellschaft für Kardiologie (DGK)
Organisme : Medtronic PLC (Minneapolis, MN, USA)
Commentaires et corrections
Type : ErratumIn
Informations de copyright
© 2023 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology.
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