Heart failure case study: telemonitoring prevents cardiac decompensation
A concrete case from a cardiological group practice in Krefeld shows how telemonitoring of important vital signs and direct communication with patients can help to identify and treat critical events at an early stage.
Patient background
General information
Age: 67 years
Gender: male
Illness: Heart failure
Practice: Internal medicine and cardiology group practice, Krefeld
Medical history
The patient was referred to specialist cardiological treatment by the HA in November 2022 with an anterior wall infarction. He had already been hospitalised several times due to cardiac decompensations.
Comorbidities:
- Three-vessel coronary artery disease with moderate reduced LV function
- arterial hypertension
- Hypercholesterolaemia
- COPD with emphysema
- chronic renal failure
- ischaemic cardiomyopathy
- Sleep apnoea
Telemonitoring
Start telemonitoring: Spring 2023
Software: SaniQ
Observed vital signs:
- Blood pressure
- Body weight
- Heart rate
Event history
Critical Event (April 2023)
10-11 April
The patient transmits the following via the SaniQ app Vital signs:
Body weight:
- 10 April: 95.7 kg
- 11 April: 97 kg
11 april
" The weight gain exceeds the set limit and triggers a Observation alarm in the SaniQ software.
" The patient reports as a comment on the observation alarm as well as via the Chat function water retention in both feet.
Treatment
11 april
Therapeutic intervention: The treating doctor prescribes an increased dose of torasemide (10 mg) for 5 days in the medication schedule for drainage.
Result
14 april
The administration of the drug takes effect quickly: On 14 April, the patient transmits a body weight of 93.2 kg.
The threat of cardiac decompensation could be averted at an early stage by adjusting the medication.
Event history
Critical Event I
The patient transmits the following vital signs via the SaniQ app:
Body weight:
- 10 April: 95.7 kg
- 11 April: 97 kg
The weight gain exceeds the set limit and triggers an observation alarm in the SaniQ software.
Critical Event II
The patient reports water retention in both feet as a comment on the observation alarm and via the chat function.
Intervention
The treating doctor prescribes an increased dose of torasemide (10 mg) for 5 days in the medication schedule for drainage.
Result
The administration of the drug takes effect quickly: On 14 April, the patient transmits a body weight of 93.2 kg.
The threat of cardiac decompensation could be averted at an early stage by adjusting the medication.
In our practice, cardiac decompensations have already been prevented in several cases by telemonitoring without the need for a visit to the practice. Of course, our patients think this is great and it saves us an immense amount of time in our practice!
Telemonitoring with SaniQ
- Fulfils all regulatory requirements
- Support for TMZ approval
- comprehensive technical support
These articles might be of interest to you:
Your way to telemonitoring in heart failure
Cardiology practices have been able to bill for cardiac telemonitoring in heart failure since 2022. We will show you how you can meet the requirements and offer your patients modern care.
Calculate now: Reimbursement for telemonitoring for heart failure
New fee schedule items (GOP) in the uniform assessment scale (EBM) regulate the billing of telemonitoring in heart failure. You can find out here what remuneration you can expect as a cardiologist.
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