Health Services Insights (Feb 2023)

Use of Electronic Messages in the Follow-Up of Patients With Heart Failure: Randomized Pilot Study

  • Igor Santos Schonhofen,
  • André Maurício Souza Fernandes,
  • Roque Aras Júnior,
  • Taís Sousa Macêdo,
  • Bruno Bonfim Da Silveira,
  • Guilherme de Andrade Costa,
  • Marina Domingues Feitosa,
  • André Rodrigues Durães

DOI
https://doi.org/10.1177/11786329231154692
Journal volume & issue
Vol. 16

Abstract

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Heart Failure (HF) has been identified as an important public health problem, with high morbidity and mortality, despite advances in current therapy. New strategies are demanded to reduce the number of hospitalizations and deaths. Telemedicine approaches could improve the management of patients with cardiovascular conditions. Sixty patients with heart failure with reduced ejection fraction (HFrEF) were randomized to this pilot study. Weekly electronic messages were sent for 1 year. The use of telemedicine was effective instrument for the evolutionary follow-up of patients with HFrEF during the COVID-19 pandemic, but did not demonstrate an impact on the reduction of cardiovascular outcomes or hospitalization for HF. REBEC - Brazilian Registry of Clinical Trials identifier RBR-5q6x56k. Monitoring heart disease patients via WhatsApp during the COVID-19 pandemic. Available from http://www.ensaiosclinicos.gov.br/rg/RBR-5q6x56k/