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<p>Patients previously hospitalized for decompensated heart failure (HF) are at high risk of readmission, with their prognosis worsening after each subsequent hospitalization, making prevention crucial for improving outcomes. Remote monitoring of cardiac filling pressures with implantable devices has showed benefit in reducing HF hospitalization (HFH) rates, while enhancing survival and quality of life. In this case report, we illustrate our clinical experience with a non-invasive photoplethysmography-based telemonitoring system for assessiment of left ventricular filling pressures (LVFP) in a 69-year-old woman with heart failure with preserved ejection fraction (HFpEF), recently hospitalized for decompensated HF. Initially, an increase in LVFP was detected due to nonadherence to adequate diuretic dose, prompting timely treatment interventions. Subsequently, the system identified worsening heart failure associated with a COVID-19 respiratory infection, allowing for appropriate therapeutic adjustments. This case highlights the utility of non-invasive LVFP telemonitoring system in guiding personalized HF therapy and preventing potential HFHs in our patient, caused by common clinical challenges.</p>

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Photoplethysmography-Based Remote Monitoring of Cardiac Filling Pressures in a Patient Recently Hospitalized for Decompensated Heart Failure

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年9月6日

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  • Allan Böhm,
  • Julia Lucka,
  • Amitai Segev,
  • Juraj Hutnik,
  • Martin Spilak,
  • Filip Skorec,
  • Jana Stevkova,
  • Marta Kollarova,
  • Viera Sebenova Jerigova,
  • Viera Hlodakova,
  • Kristian Filip Guzma,
  • Branislav Bezak

摘要

Patients previously hospitalized for decompensated heart failure (HF) are at high risk of readmission, with their prognosis worsening after each subsequent hospitalization, making prevention crucial for improving outcomes. Remote monitoring of cardiac filling pressures with implantable devices has showed benefit in reducing HF hospitalization (HFH) rates, while enhancing survival and quality of life. In this case report, we illustrate our clinical experience with a non-invasive photoplethysmography-based telemonitoring system for assessiment of left ventricular filling pressures (LVFP) in a 69-year-old woman with heart failure with preserved ejection fraction (HFpEF), recently hospitalized for decompensated HF. Initially, an increase in LVFP was detected due to nonadherence to adequate diuretic dose, prompting timely treatment interventions. Subsequently, the system identified worsening heart failure associated with a COVID-19 respiratory infection, allowing for appropriate therapeutic adjustments. This case highlights the utility of non-invasive LVFP telemonitoring system in guiding personalized HF therapy and preventing potential HFHs in our patient, caused by common clinical challenges.