School of Medicine Publications and Presentations
Document Type
Article
Publication Date
7-15-2025
Abstract
Background and Objectives: Heart failure (HF) represents a major public health challenge worldwide, with rising prevalence, high morbidity and mortality rates, and substantial healthcare costs. Non-invasive telemonitoring has emerged as a promising adjunct in HF management, yet its clinical effectiveness remains unclear. Materials and Methods: In this systematic review, we summarize randomized controlled trials (RCTs) between 2004 and 2024 examining the efficacy of non-invasive telemonitoring on mortality, readmission, and quality of life (QoL) in HF. In addition, we characterize the heterogeneity of features of different telemonitoring interventions. Results: In total, 32 RCTs were included, comprising 13,294 participants. While some individual studies reported benefits, non-invasive telemonitoring demonstrated mixed effects on mortality, readmission rates, and QoL. The most common modality for interfacing with patients was by mobile application (53%), followed by web portals (22%), and stand-alone devices (19%). Periodic feedback (63%) was more common than continuous feedback (31%) or on-demand feedback (6%). Clinician reviews of patient telemonitoring data was event-triggered (44%) more commonly than based on a prespecified timeline (38%). In most designs (90%), patients played a passive role in telemonitoring. Conclusions: Non-invasive telemonitoring interventions for HF exhibited considerable variation in duration and system design and had a low rate of patient engagement. Future work should focus on identifying telemonitoring-responsive subgroups and refining telemonitoring strategies to complement traditional HF care.
Recommended Citation
Kwaah, P. A., Olumuyide, E., Farhat, K., Malaga-Espinoza, B., Abdullah, A., Beasley, M. H., Sari, N. Y., Stern, L. K., Lamprea-Montealegre, J. A., daSilva-deAbreu, A., & Hu, J.-R. (2025). Non-Invasive Telemonitoring in Heart Failure: A Systematic Review. Medicina, 61(7), 1277. https://doi.org/10.3390/medicina61071277
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Publication Title
Medicina
DOI
10.3390/medicina61071277
Academic Level
resident
Mentor/PI Department
Internal Medicine
Comments
© 2025 by the authors. Published by MDPI on behalf of the Lithuanian University of Health Sciences. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).