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
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American Heart Association

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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

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