Remote Management of Patients With Heart Failure in Medically Underserved Areas | JACC: Advances

0:00I'm Dashan Brandback, podcast editor for the Jack Advances team in the April 2006 issue the study. Remote management of patients with heart failure in medically underserved areas is by first orthodoxy Dr. Florence and senior orthodoxy Chalier from the CHU Clément Ferrand France. Medically underserved areas are associated with higher rates of hospitalisations and mortality. All those structured remote management programs demonstrated clinical benefits, their effectiveness in medically underserved areas in Europe remains scarcely investigated. The objective of this study was to assess where the heart failure patients derive similar outcomes from a structured multi-parametric remote management program irrespective of medically underserved area designation. Executive patients enrolled in a standardized multi-parametric heart failure remote management program between April 2020 and December 2022 in two French regions at two French university

1:07hospitals were included in the study. Inclusion criteria of chronic heart failure with at least one episode of heart failure hospitalisation in the previous year or NYJ Functional Class 2 or above associated with an elevated B-type naturally peptide. Discessments were performed routinely with body weight, blood pressure, heart rate, symptoms, biology and data from cardiac implantable electronic devices. The primary outcome was a composite of unplanned heart failure hospitalisation or all cause mortality. Among 1,040 patients, mean age 72, 70% being male, 32% lived in medically underserved areas. The median follow-up was 20 months. The annualized rate of primary outcome was 13.7% in the overall population with no significant difference between medically underserved areas and non-medically underserved area patients.

2:0813.5% versus 13.9%. Medically underserved areas were not associated with the primary outcome adjusted hazard ratio 0.93. Using capital and my analysis, survival curves showed no difference between medically underserved and non-medically underserved area patients. In conclusion, the study showed no difference in primary outcome among heart failure patients enrolled in the structured multi-parametric remote management programme irrespective of medically underserved areas.