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Non-invasive telemonitoring improves survival and reduces hospitalizations in patients with chronic heart failure. These findings were presented at ESC 2025, highlighting a promising strategy for managing a condition that causes frequent hospital visits and high treatment costs worldwide.

Data from 34 randomized controlled trials involving 16,179 patients were analyzed. Participants received either non-invasive telemonitoring or standard care. The impact on all-cause mortality, heart failure-related hospitalisations, and overall hospitalisations was assessed.

The analysis showed that telemonitoring lowered all-cause mortality by 18% and heart failure-related hospitalizations by 20%, while overall hospitalizations remained unchanged. Older patients, particularly those aged 70 and above, benefited most. Mobile-based telemonitoring demonstrated the greatest reduction in hospitalisations. The intervention also improved patients’ quality of life, self-care behaviours, and adherence to treatment.

These results position non-invasive telemonitoring as a safe and effective approach for chronic heart failure management. Widespread use of mobile platforms, especially in older adults, could enhance patient outcomes. Further work is needed to evaluate long-term adherence, cost-effectiveness, and integration into routine clinical practice.

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Key highlights
  • Telemonitoring reduced all-cause mortality by 18% and heart failure-specific hospitalisations by 20%.
  • Older adults and mobile-based monitoring showed the greatest benefits.
  • Telemonitoring improved patient self-care, adherence, and quality of life.
Source

HA Parente, SB Hornemann, IMM Faria, et al. Non-invasive telemonitoring in chronic heart failure: a systematic review and meta-analysis of randomised controlled trials. Presented at: ESC Congress 2025; August 30–September 2, 2025; London, United Kingdom. Published 2025. https://esc365.escardio.org/presentation/305378 

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Telemonitoring Cuts Mortality and Hospitalisations in Chronic Heart Failure Patients
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Systematic review and meta-analysis of 34 RCTs shows non-invasive telemonitoring improves outcomes and quality of life in older adults.

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