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The CardioMEMS Heart Failure Monitoring System 

The CardioMEMS Heart Failure Monitoring System
Chapter:
The CardioMEMS Heart Failure Monitoring System
Author(s):

Brent C. Lampert

and William T. Abraham

DOI:
10.1093/med/9780190909291.003.0043
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date: 03 June 2020

The initial cause of worsening heart failure is increased intracardiac and pulmonary pressures. Traditional non-invasive heart failure monitoring strategies that follow surrogates of increased pressures have not reduced heart failure hospitalizations. Pulmonary artery pressure measurements using the implantable CardioMEMS system allow daily remote monitoring and earlier identification of heart failure decompensations. In the CHAMPION trial, remote monitoring with the CardioMEMS Heart Failure system significantly reduced hospitalizations for heart failure, even in patients with numerous comorbidities. For patients with refractory advanced heart failure, mechanical circulatory support can markedly improve the length and quality of life but can also have multiple complications. Implantable hemodynamic monitoring with CardioMEMS may provide clinicians with better information to guide the timing of left ventricular assist device implantation and to improve post-implant care.

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