Scientific Sessions 2025  /  AI, Digital Health and Remote Monitoring on the HF Horizon  /  Clinical Efficacy of Telemedicine vs Standard Outpatient Management for Heart Failure: A Systematic Review and Meta-Analysis
Logo

American Heart Association

  126
  0

Final ID: Su3108

Clinical Efficacy of Telemedicine vs Standard Outpatient Management for Heart Failure: A Systematic Review and Meta-Analysis

Abstract Body (Do not enter title and authors here): Background: Telemedicine (TM) modalities—home tele-monitoring and structured telephone support—are proposed to improve outcomes in heart failure (HF), yet pooled effects remain inconsistent.
Methods: PubMed, Embase, Cochrane, and Web of Science were searched to 1 June 2025 for randomised controlled trials (RCTs) or prospective cohorts comparing TM with usual outpatient HF care. Primary endpoints were all-cause mortality and HF-related readmission; quality of life (QoL) was secondary. Risk ratios (RRs) were pooled with a random-effects model (I2 for heterogeneity). Risk of bias was assessed with Cochrane RoB 2 and Newcastle–Ottawa tools. Protocol: PROSPERO.
Results: Twenty-eight studies (24 RCTs, 4 cohorts) enrolling 11 334 patients (mean age 69 y; 37 % women) met criteria. TM reduced mortality (pooled RR 0.81, 95 % CI 0.72–0.91; I2 18 %). Benefit was greatest in tele-monitoring trials (RR 0.66, 0.54–0.81; 2 710 patients), whereas telephone support showed a non-significant trend (RR 0.88, 0.76–1.01).TM lowered HF readmissions by 22 % (RR 0.78, 0.69–0.88; I2 25 %) and had no effect on all-cause hospitalisations (RR 0.96, 0.88–1.04). QoL improved in six of eight studies reporting the Minnesota Living with HF Questionnaire (mean difference –3.4 points). Funnel-plot symmetry and Egger’s test (p = 0.28) suggested no publication bias; most trials were low-to-moderate risk.
Conclusions: Across >11 000 HF patients, TM—especially home tele-monitoring—significantly reduces mortality and HF-specific readmissions and modestly enhances QoL compared with standard outpatient management. These contemporary data support routine integration of TM into HF care pathways and its inclusion in future guideline recommendations.
  • Syed, Saif  ( RCSI , Dublin , Ireland )
  • Ochani, Rohan Kumar  ( SUNY UPSTATE , NEW YORK , New York , United States )
  • Hotwani, Priya  ( parkview heath , Fort wayne , Indiana , United States )
  • Bashir, Qasim  ( Nishtar Medical University, Multan , Haroonabad , Pakistan )
  • Almas, Talal  ( University Hospitals Cleveland , Cleveland , Ohio , United States )
  • Saha, Shubhashis  ( Cook County Health, John H Stroger , Chicago , Illinois , United States )
  • Prasad, Abishek  ( md anderson cancer centre , Houston , Texas , United States )
  • Arshad, Sameed  ( Saint Agnes Medical Center , Fresno , California , United States )
  • Raj, Rohan  ( Saint Agnes Medical Center , Fresno , California , United States )
  • Panjiyar, Binay  ( Saint Agnes Medical Center , Fresno , California , United States )
  • Patel, Sharvil  ( Saint Agnes Medical Center , Fresno , California , United States )
  • Vemulaghat, Krishna Teja  ( Osmania Medical College , Hyderabad , India )
  • Singla, Ankur  ( Northwest Health-Porter, Valparaiso , Valparaiso , India )
  • Sharma, Shivangi  ( VEER NARMAD SOUTHGUJARAT UNIVERSITY , Surat , India )
  • Kc, Anil  ( University of Central Florida , Gainesville , Florida , United States )
  • Gopu, Sahithi  ( Osmania Medical College , Peddapalli , India )
  • Kushagar, Singla  ( Saint Agnes Medical Center , Fresno , California , United States )
  • Wagle, Laxman  ( Ascension Saint Agnes Hospital , Baltimore , Maryland , United States )
  • Tadigotla, Chandana  ( PES INSTITUTE OF MEDICAL SCIENCES , Kadapa , India )
  • Mandava, Snigdha  ( NRI Medical College and Hospital , Nellore , India )
  • Shaik, Deekshith Ameer  ( Osmania medical college , Hyderabad , India )
    • Author Disclosures:
    Saif Syed: DO NOT have relevant financial relationships | BINAY PANJIYAR: No Answer | Sharvil Patel: DO NOT have relevant financial relationships | Krishna teja Vemulaghat: DO NOT have relevant financial relationships | Ankur Singla: DO NOT have relevant financial relationships | Shivangi Sharma: DO NOT have relevant financial relationships | ANIL KC: DO NOT have relevant financial relationships | Sahithi Gopu: DO NOT have relevant financial relationships | singla kushagar: No Answer | Laxman Wagle: DO NOT have relevant financial relationships | Chandana Tadigotla: DO NOT have relevant financial relationships | Rohan Kumar Ochani: DO NOT have relevant financial relationships | Snigdha Mandava: DO NOT have relevant financial relationships | deekshith ameer shaik: DO NOT have relevant financial relationships | Priya Hotwani: DO NOT have relevant financial relationships | Qasim Bashir: DO NOT have relevant financial relationships | Talal Almas: DO NOT have relevant financial relationships | Shubhashis Saha: DO NOT have relevant financial relationships | abishek prasad: No Answer | Sameed Arshad: DO NOT have relevant financial relationships | Rohan Raj: DO NOT have relevant financial relationships
Meeting Info:

Scientific Sessions 2025

2025

New Orleans, Louisiana

Session Info:

AI, Digital Health and Remote Monitoring on the HF Horizon

Sunday, 11/09/2025 , 11:30AM - 12:30PM

Abstract Poster Board Session

More abstracts on this topic:
A Case Presentation of Severe Left Ventricular Dysfunction from Focal Myocarditis due to Immune Checkpoint Inhibitor

Patel Romil, Hussain Kifah, Gordon Robert

A Case of Steroid-Refractory Immune-checkpoint-inhibitor Induced Myocarditis Responsive to Mycophenolate and Anti-thymocyte globulin

Dabdoub Jorge, Wilson Michael, Gottbrecht Matthew, Salazar Ryan, Shih Jeffrey

More abstracts from these authors:
Impact of Genetic Polymorphism on Antihypertensive Drug Response: Comparing ACE Inhibitors and ARBs – A Systematic Review and Meta-Analysis

Shaik Deekshith Ameer, Madamanchi Hari Krishna, Korlakunta Bhavana, Vemulaghat Krishna Teja, Gopu Sahithi, Katikala Venkata Ramana, Mandava Snigdha, Bokka Sri Lakshmi Ananya, Sanghvi Urja, Mohammed Omer Farooq, Panjiyar Binay, Nagoke Simranjeet, Afroze Tanzina

Comparative Efficacy of High-Intensity Interval Training and Moderate-Intensity Continuous Training on Cardiovascular Outcomes in Adults: A Systematic Review and Meta-Analysis

Vemulaghat Krishna Teja, Singla Kushaghar, Sharma Shivangi, Shaik Deekshith Ameer, Tadigotla Chandana, Maheshwari Dheeraj Kumar, Syed Saif, Mohammed Omer Farooq, Panjiyar Binay, Wagle Laxman, Kc Anil, Gopu Sahithi

You have to be authorized to contact abstract author. Please, Login
Not Available