Effects of heart failure management outside hospital based on home remote blood pressure/heart rate monitoring system
Objective To analyze the management effect of home remote blood pressure and heart rate monitoring in patients with left heart failure combined with hypertension outside the hospital.Methods A to-tal of 420 patients diagnosed with left heart failure combined with hypertension in the Department of Cardio-vascular Medicine,Yuebei People's Hospital from July 2020 to June 2021 were prospectively selected,and di-vided into the remote monitoring group(112 cases)and the routine follow-up group(278 cases)according to whether the patients agreed to home remote blood pressure/heart rate monitoring after discharge.The remote monitoring group would measure blood pressure and heart rate in the morning and evening every day and up-load the data to the medical terminal,and the medical team would guide the patient's lifestyle,medication and further treatment in time according to the measurement results.In the routine follow-up group,blood pressure and heart rate were measured and registered by themselves,and regular outpatient follow-up was performed.Control values of blood pressure,the incidence rate and time interval of unplanned readmissions,all-cause death and cardiovascular disease death were recorded in two groups at 1,3,6,12 months after discharge.Re-sults The systolic blood pressure at 1,3,6,12 months after discharge,and heart rate at 6,12 months after discharge in the remote monitoring group were significantly lower than those in the conventional follow-up group,the number of unplanned readmissions was significantly lower than that in the conventional follow-up group,and the readmission time interval was significantly longer than that in the conventional follow-up group,with statistical significance(P＜0.05).There were no significant differences in all-cause mortality and cardiovascular disease mortality between two groups(P＞0.05).Conclusion Home remote blood pressure/heart rate monitoring is beneficial to the stable control of blood pressure and heart rate of patients with heart failure complicated with hypertension after discharge,delay the time interval of readmitted patients,and re-duce the readmitted rate of patients.
Remote monitoringMonitoring systemHeart failureHypertensionBlood pres-sure controlHeart rate control
万方数据
维普
