Effects of Telemonitoring and Hemodynamic Monitoring on Mortality in Heart Failure: a Systematic Review and Meta-analysis

To examine the effectiveness of telemonitoring and hemodynamic monitoring devices in reducing mortality rates in heart failure. PubMed and Cochrane Library were searched to 1 May 2017 for randomized controlled trials and real-world studies investigating the effects of telemonitoring or hemodynamic monitoring on mortality in heart failure. Heart failure is associated with increased mortality. Telemonitoring and hemodynamic monitoring have been shown to reduce mortality rates in some studies but not others. Fifty-two and five publications on telemonitoring and hemodynamic monitoring were included. In 23,233 patients (mean age 70 years, mean follow-up 12 ± 10 months), telemonitoring reduced all-cause mortality by 22% (HR = 0.78; 95% confidence interval (CI), 0.74–0.83; P 0.05). Overall, telemonitoring but not hemodynamic monitoring reduced mortality in heart failure.