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• W4240010903 abstract "Heart failure (HF) is a multifactorial chronic syndrome with progressive increasing incidence causing a huge financial burden worldwide. Remote monitoring should, in theory, improve HF management, but given increasing morbidity and mortality, a question remains: are we monitoring it properly? Device-based home monitoring enables objective and continuous measurement of vital variables and non-invasive devices should be first choice for elderly patients. There is no shortage of literature on the subject, however, most studies were designed to monitor a single variable or class of variables that were not properly assembled and, to the best of our knowledge, there are no large randomized studies about their impact on HF patient management. To overcome this problem, we carefully selected the most critical possible HF decompensating factors to design MONITORIA, a non-invasive device for comprehensive HF home monitoring. MONITORIA stands for MOnitoring Non-Invasively To Overcome mortality Rates of heart Insufficiency on Ambulatory, and in this paper, which is part I of a series of three articles, we discuss the theoretical basis for its design. MONITORIA and its inherent follow-up strategy will optimize HF patient care as it is a promising device, which will essentially adapt innovation not to the disease but rather to the patients. A insuficiência cardíaca (IC) é uma síndrome crónica multifatorial com incidência progressivamente crescente e grande impacto financeiro a nível mundial. Teorizou-se que a telemonitorização contribuiria para uma melhor abordagem da IC. Contudo, face à crescente morbimortalidade desta síndrome, é pertinente colocar uma questão: será que estamos a monitorizar a IC adequadamente? A monitorização ambulatória, por meio de dispositivos, permite uma avaliação objetiva e contínua de diversos parâmetros vitais, sendo preferíveis os dispositivos não invasivos no caso dos pacientes idosos. Na literatura abundam artigos sobre estes dispositivos. Contudo, a maioria foi desenhada para monitorizar uma única variável ou uma classe de variáveis incorretamente reunidas. Além disso, até à data, não temos conhecimento de ensaios clínicos randomizados e controlados com intuito de avaliar o impacto destes dispositivos na abordagem da IC e seus outcomes. No sentido de tentar ultrapassar este problema, nós selecionamos cuidadosamente os fatores mais críticos nas exacerbações de IC, para desenhar o Monitoria, um dispositivo não invasivo para monitorização abrangente da IC em ambulatório. Monitoria significa MOnitoring Non-Invasively To Overcome mortality Rates of heart Insufficiency on Ambulatory e neste artigo, que é a parte I de uma série de três artigos, nós pretendemos discutir os fundamentos teóricos que estiveram na base do seu desenho. O Monitoria e a estratégia de follow-up que lhe é inerente aprimorará a abordagem do doente com IC, sendo um dispositivo promissor, essencialmente, por implicar um ajuste da inovação ao doente real, e não à sua doença ou a um conceito teórico de doente." @default.
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• W4240010903 date "2021-05-01" @default.
• W4240010903 modified "2023-09-26" @default.
• W4240010903 title "MONITORIA: The start of a new era of ambulatory heart failure monitoring? Part I – Theoretical Rationale" @default.
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• W4240010903 doi "https://doi.org/10.1016/j.repce.2020.07.018" @default.
• W4240010903 hasPublicationYear "2021" @default.
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