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BERLIN -- Twice-daily home telemonitaring of congestive heart failure patients' vital signs with transmission of results to their physicians markedly reduces mortality risk, compared with usual care, Dr. John G.E Cleland said at the 24th Congress of the European Society of Cardiology.
But so, too, does a lower-tech, far less costly intervention: simply having a nurse phone patients at home once per month to provide information, advice, and support for continued compliance with therapy Which of these novel approaches is better awaits further study, according to Dr. Cleland of the University of Hull (England).
Dr. Cleland reported on 427 patients with New York Heart Association class II-IV congestive heart failure in The Netherlands, Germany and the United Kingdom. They participated in the Trans European Network Homecare Monitoring Study (TEN-HMS). This was the first large randomized, controlled trial to test the hypothesis that remote monitoring of patients with congestive heart failure (CHF) improves quality of life, reduces need for hospitalization, and improves survival.
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