Influence of remote digital observations on quality of life, compliance, and clinical outcomes in patients with chronic heart failure

Studies in patients with heart failure (HF) addressing the influences of remote monitoring demonstrated a significant improvement in quality of life over a three-month period in the remote observation group (34.4 ± 17.8 versus 25.2 ± 14.3; p = 0.048), while no change in quality of life occurred in the reference group (44 versus 38.8 ± 23.9; p = 0.25). Compliance with remote monitoring was obtained in 20 patients (80%). The primary endpoint (decompensation of HF) was reached in two patients (18%) in the standard observation group but none in the study group ( p = 0.028). Two independent episodes of deterioration based on questionnaire responses led to changes in diuretic therapy and probably prevented hospitalization. Remote monitoring for three months significantly reduced the incidence of decompensation of heart failure and improved quality of life; patients demonstrated good compliance, indicating the feasibility of using telemedicine systems of this type for continuous remote monitoring of patients with heart failure.