Heart failure case study: telemonitoring prevents cardiac decompensation

Heart failure case study: telemonitoring prevents cardiac decompensation

A specific case from a joint cardiology practice in Krefeld shows how telemonitoring of important vital signs and direct communication with patients can be used to detect and treat critical events at an early stage.

Man measures his blood pressure

Background of the patient

Patient

Age: 67 years
Disease: Heart failure
Practice: Group practice for internal medicine and cardiology, Krefeld

Medical history

The patient was referred to specialist cardiology treatment by the HA in November 2022 with an anterior wall infarction. He had already been hospitalized several times due to cardiac decompensation.

Comorbidities:

  • Coronary three-vessel disease with moderately reduced LV function
  • arterial hypertension
  • Hypercholesterolemia
  • COPD with emphysema
  • Chronic renal insufficiency
  • ischemic cardiomyopathy
  • Sleep apnea

Telemonitoring

Start of telemonitoring: Spring 2023

Software: SaniQ

Observed vital signs:

  • Blood pressure
  • Body weight
  • ECG

Event history

April 11, 2023
April 11, 2023

Critical event

The patient transmits a sudden weight gain via the SaniQ app.

April 11, 2023
April 11, 2023

Exceeding the limit value

Exceeding the limit value triggers a monitoring alarm in SaniQ.

The patient also reports water retention in both feet via the chat function.

April 11, 2023
April 11, 2023

Intervention

The attending physician prescribes an increased dose of torasemide (10 mg) over 5 days in the medication plan for dehydration.

April 14, 2023
April 14, 2023

Result

The administration of the drug takes effect quickly: on April 14, the patient reports a normalized body weight.

The impending cardiac decompensation was averted at an early stage by adjusting the medication.

In our practice, cardiac decompensation has already been prevented in several cases by telemonitoring without the need for a visit to the practice. Our patients think it's great, of course, and it saves us a huge amount of time in running the practice!

Ms. Schäffer, MFA and specialist for telemonitoring in the internal cardiology group practice, Krefeld

» http://www.kardiologie-krefeld.de

3 steps to telemonitoring

Telemonitoring offers many advantages for cardiologists and patients. With the SaniQ platform, both can quickly get started with telemonitoring. 

Information for doctors
Information for patients

These articles might interest you: