Advanced Devices for Heart Failure: Selecting, Sequencing, and Sustaining Care-Advanced Devices for Heart Failure: Selecting, Sequencing, and Sustaining Care

Video Transcription

Video Summary

This series of talks by heart failure specialists covers device-based management in heart failure, focusing on patient selection, monitoring, and advanced therapies. Dr. Supriya Shor emphasizes early identification of heart failure patients who benefit from remote monitoring devices, such as daily weight tracking, pulmonary artery pressure sensors (CardioMEMS, Cordella), and multi-parametric ICD sensors (HeartLogic). She highlights that while traditional telemonitoring shows inconsistent benefits, newer AI-based tools and patient engagement strategies can improve medication optimization and reduce hospitalizations. Pulmonary artery pressure monitoring has proven efficacy in reducing hospitalizations in NYHA Class II-III patients but is limited by cost and need for trained teams.<br /><br />Dr. Lindsay Arora reviews advanced device therapies including cardiac resynchronization therapy (CRT), cardiac contractility modulation (CCM), baroreflex activation therapy (BAT), left ventricular assist devices (LVAD), and heart transplantation. CRT is indicated for patients with reduced ejection fraction and wide QRS complex, improving mortality and symptoms. CCM and BAT offer alternatives for select patients not eligible for CRT, showing benefits in symptoms and quality of life. The management of advanced heart failure requires multidisciplinary collaboration for optimal timing of device implantation, including early referral and comprehensive evaluation.<br /><br />Dr. Milena Ianni presents a case illustrating a stepwise approach—optimizing medical therapy, CRT, CCM implantation, pulmonary artery pressure monitoring via CardioMEMS, and ultimately LVAD implantation—to improve symptoms, reduce hospitalizations, and enhance quality of life, underscoring shared decision-making throughout.<br /><br />Overall, the sessions stress integrating device therapies tailored to heart failure severity, continuous patient monitoring, and teamwork to personalize care, prevent hospitalizations, and improve outcomes in heart failure patients.

Keywords

heart failure

device-based management

remote monitoring

pulmonary artery pressure sensors

cardiac resynchronization therapy

left ventricular assist devices

advanced heart failure therapies