CardioMEMS HF系统在早期心力衰竭患者管理中的概况:最新进展

IF 2.9 3区 医学 Q3 ENGINEERING, BIOMEDICAL Expert Review of Medical Devices Pub Date : 2023-07-01 DOI:10.1080/17434440.2023.2228683
Rohit Vyas, Mitra Patel, Samer J Khouri, George V Moukarbel
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引用次数: 0

摘要

导读:在过去的十年中,心力衰竭(HF)的评估和治疗取得了显著的进展。尽管对这种慢性疾病的认识有所提高,心衰仍然是美国和世界范围内发病率和死亡率的主要原因之一。心衰患者的失代偿和再住院仍然是疾病管理中不可或缺的问题,具有重要的经济意义。开发了远程监测系统,以便及早发现HF失代偿并在住院前予以处理。CardioMEMS HF系统是一种无线肺动脉(PA)监测系统,可检测PA压力的变化并将数据传输给医疗保健提供者。由于心绞痛压力的变化发生在HF失代偿的早期,CardioMEMS HF系统允许提供者及时改变HF药物治疗,以改变失代偿的过程。使用CardioMEMS心衰系统已被证明可减少心衰住院并改善生活质量。涵盖领域:本综述将侧重于支持CardioMEMS系统在心衰患者中扩大应用的现有数据。专家意见:CardioMEMS心衰系统是一种相对安全且具有成本效益的设备,可降低心衰住院发生率,具有中高价值医疗保健的资格。
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A profile on the CardioMEMS HF system in the management of patients with early stages of heart failure: an update.
ABSTRACT Introduction Over the past decade, there have been noteworthy advances in the evaluation and treatment of heart failure (HF). Despite an improved understanding of this chronic disease, HF is still one of the leading causes of morbidity and mortality in the United States and worldwide. Decompensation and rehospitalization of HF patients remain an integral problem in disease management, with significant economic implications. Remote monitoring systems have been developed to detect HF decompensation early and address it before hospitalization. The CardioMEMS HF system is a wireless pulmonary artery (PA) monitoring system that detects changes in PA pressure and transmits data to the healthcare provider. As changes in PA pressures occur early during HF decompensation, the CardioMEMS HF system allows providers to institute timely changes in HF medical therapies to alter the course of the decompensation. The use of the CardioMEMS HF system has been shown to reduce HF hospitalization and improve quality of life. Areas Covered This review will focus on the available data supporting the expanded utilization of the CardioMEMS system in patients with HF. Expert Opinion The CardioMEMS HF system is a relatively safe and cost-effective device that reduces the incidence of HF hospitalization and qualifies as intermediate-to-high value medical care.
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来源期刊
Expert Review of Medical Devices
Expert Review of Medical Devices 医学-工程:生物医学
CiteScore
5.90
自引率
3.20%
发文量
69
审稿时长
6-12 weeks
期刊介绍: The journal serves the device research community by providing a comprehensive body of high-quality information from leading experts, all subject to rigorous peer review. The Expert Review format is specially structured to optimize the value of the information to reader. Comprehensive coverage by each author in a key area of research or clinical practice is augmented by the following sections: Expert commentary - a personal view on the most effective or promising strategies Five-year view - a clear perspective of future prospects within a realistic timescale Key issues - an executive summary cutting to the author''s most critical points In addition to the Review program, each issue also features Medical Device Profiles - objective assessments of specific devices in development or clinical use to help inform clinical practice. There are also Perspectives - overviews highlighting areas of current debate and controversy, together with reports from the conference scene and invited Editorials.
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