Optimizing heart failure therapy with implantable sensors

Heart failure (HF)-related hospitalization is associated with significant mortality and morbidity and can be prevented by early intervention. Implantable sensors detect early pathophysiological changes in HF, using an accelerometer, a paced electrogram, impedance and pressure sensors in implanted in...

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Main Authors: Chu-Pak Lau, David C.W. Siu, Hung-Fat Tse
Format: Article
Language:English
Published: Wiley 2012-02-01
Series:Journal of Arrhythmia
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S188042761200004X
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author Chu-Pak Lau
David C.W. Siu
Hung-Fat Tse
author_facet Chu-Pak Lau
David C.W. Siu
Hung-Fat Tse
author_sort Chu-Pak Lau
collection DOAJ
description Heart failure (HF)-related hospitalization is associated with significant mortality and morbidity and can be prevented by early intervention. Implantable sensors detect early pathophysiological changes in HF, using an accelerometer, a paced electrogram, impedance and pressure sensors in implanted intracardiac leads, or stand-alone devices. Such sensors monitor daily activity, QT and ST intervals, pulmonary fluid, and intracardiac pressures at various points. Sensor data are available either by patient's or physician's regular interrogation, or using remote patient monitoring. Different sensors have different levels of sensitivity and specificity for HF detection, and they have the ability to antedate HF exacerbation and thereby allow for the initiation of intervention to avert decompensation. Clinical studies suggest that alone or in combination, such sensors have a greater beneficial impact than conventional therapy on acute HF outcome.
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spelling doaj.art-4df75953dfb545589887b1676f9fe11b2022-12-22T01:14:47ZengWileyJournal of Arrhythmia1880-42762012-02-0128141810.1016/j.joa.2012.02.003Optimizing heart failure therapy with implantable sensorsChu-Pak LauDavid C.W. SiuHung-Fat TseHeart failure (HF)-related hospitalization is associated with significant mortality and morbidity and can be prevented by early intervention. Implantable sensors detect early pathophysiological changes in HF, using an accelerometer, a paced electrogram, impedance and pressure sensors in implanted intracardiac leads, or stand-alone devices. Such sensors monitor daily activity, QT and ST intervals, pulmonary fluid, and intracardiac pressures at various points. Sensor data are available either by patient's or physician's regular interrogation, or using remote patient monitoring. Different sensors have different levels of sensitivity and specificity for HF detection, and they have the ability to antedate HF exacerbation and thereby allow for the initiation of intervention to avert decompensation. Clinical studies suggest that alone or in combination, such sensors have a greater beneficial impact than conventional therapy on acute HF outcome.http://www.sciencedirect.com/science/article/pii/S188042761200004XHeart failureSensorsMonitoring
spellingShingle Chu-Pak Lau
David C.W. Siu
Hung-Fat Tse
Optimizing heart failure therapy with implantable sensors
Journal of Arrhythmia
Heart failure
Sensors
Monitoring
title Optimizing heart failure therapy with implantable sensors
title_full Optimizing heart failure therapy with implantable sensors
title_fullStr Optimizing heart failure therapy with implantable sensors
title_full_unstemmed Optimizing heart failure therapy with implantable sensors
title_short Optimizing heart failure therapy with implantable sensors
title_sort optimizing heart failure therapy with implantable sensors
topic Heart failure
Sensors
Monitoring
url http://www.sciencedirect.com/science/article/pii/S188042761200004X
work_keys_str_mv AT chupaklau optimizingheartfailuretherapywithimplantablesensors
AT davidcwsiu optimizingheartfailuretherapywithimplantablesensors
AT hungfattse optimizingheartfailuretherapywithimplantablesensors