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Implantable devices for cardiovascular monitoring 

Implantable devices for cardiovascular monitoring
Chapter:
Implantable devices for cardiovascular monitoring
Author(s):

Max J. Liebo

and W. H. Wilson Tang

DOI:
10.1093/med/9780198734871.003.0005
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date: 18 October 2019

Over the last few decades many new implantable sensor technologies have emerged, and capabilities for remote monitoring of heart failure patients have increased dramatically. Many of these advances have stemmed from the increased prophylactic and therapeutic utilization of cardiovascular implantable electronic devices, while others have developed as stand-alone devices. All have offered new insights into the pathophysiology of heart failure decompensations and illuminated novel targets that might facilitate more timely therapeutic intervention and better stave off overt decompensations, hospitalizations, and disease progression. This chapter details the pathophysiology around the transition from chronic stable to acute decompensated heart failure from the implantable sensors’ eyes before describing the different types of implantable cardiac monitoring devices and remote monitoring systems. It also discusses the strategies for utilizing these implantable monitors in clinical practice along with their present limitations and a view to the future.

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