Keeping people with heart failure stable via a virtual platform
In the Netherlands, an eHealth platform for disease management (e-Vita) and the website heartfailurematters.org promoted monitoring of worsening heart failure and improved self-care in the short term.
Heart failure specialist nurses educated people living with heart failure and their carers on the use of the e-Vita platform and how to record body weight, blood pressure and heart rate every day. The heart failure nurses adjusted thresholds in collaboration with patients to maintain optimal health while avoiding unnecessary alerts. If thresholds were crossed, the platform sent an alert to a heart failure nurse, who called the patient to ask about their symptoms and either adjust treatment accordingly or recommend a visit to an outpatient clinic, general practice or hospital.
Wagenaar KP, Broekhuizen BDL, Dickstein K, et al. 2015. Effectiveness of an interactive platform, and the ESC/HFA heartfailurematters.org website in patients with heart failure: design of the multicentre randomized e-Vita heart failure trial. Eur J Heart Fail 17(12): 1310-16
Wagenaar KP, Broekhuizen BDL, Jaarsma T, et al. 2019. Effectiveness of the European Society of Cardiology/Heart Failure Association website ‘heartfailurematters.org’ and an e-health adjusted care pathway in patients with stable heart failure: results of the ‘e-Vita HF’ randomized controlled trial. Eur J Heart Fail 21(2): 238-46