VIrtual Care To Improve Outcomes and RecoverY From Heart Failure Hospitalization

Prior treatment

• Receiving palliative care or expected life expectancy \< 6 months

Other illness

• Unable to self-assess or communicate symptoms (e.g. clinically evident dementia)
• Severe valve disease
• Recipient of or on waiting list for LVAD or cardiac transplant
• Complex congenital heart disease, hypertrophic obstructive cardiomyopathy, or amyloid cardiomyopathy
• Severe lung disease with symptoms on minimal exertion, forced expiratory volume during 1 second (FEV1) \< 1 litre, severe pulmonary hypertension with RVSP \> 60 mm Hg, or on home oxygen
• Active malignancy

Lab values

• Severe kidney disease (persistent eGFR \< 30 mL/min/1.73m2)

Other

• Died or left hospital before medically advised hospital discharge
• Unable to engage with digital health technology or follow up

• Adult patients ≥ 18 years old who:
• Are being discharged after hospitalization or urgent visit for HF as
  • a primary diagnosis or
  • significant complication (prolonging length of stay) of another diagnosis OR Have been referred for an initial consult at a cardiology clinic within 1 week of hospitalization or urgent visit for HF as a primary or secondary diagnosis, as described above.
• Have left ventricular ejection fraction (LVEF) \< 50% within the preceding 3 months.
• Have NT-proBNP of \> 900 pg/ml during hospital admission or within 7 days after discharge from the ED
• Have a mailing address for patient or caregiver
• Provide verbal consent