iCardia4HF: Multi-component mHealth Intervention for Patients With Heart Failure

Korábbi kezelés

• Acute coronary syndrome within the last 7 days before randomization
• Revascularization and/or CRT implantation within 28 days before randomization
• Individuals who have a home nurse or are not able to take care of self (eat, dress, walk, bathe, take medications, or use the toilet)

Más betegség

• High urgent listed for heart transplantation
• Chronic renal insufficiency with hemodialysis or estimated Glomerular Filtration Rate <25 mL
• Active cancer, currently undergoing treatment (e.g. radiation immunotherapy)
• Existence of any disease reducing life expectancy to less than 1 year
• Cognitive impairment (e.g., Dementia, Parkinson disease, Alzheimer disease, MoCA<18, impaired self-determination, lacking ability to communicate)
• Major physical impairment (e.g., inability to walk, bound on a wheelchair)

Egyéb

• Implanted ventricular assist device
• Planned revascularization, transcatheter aortic valve implantation, MitraClip and/or CRT implantation within 3 months after randomization
• End-stage HF (hospice candidate)
• Discharge to a setting other than home
• Unwillingness to use study equipment
• Active substance abuse
• Currently pregnant, less than 3-month post-partum or pregnancy anticipated during the study
• Participation in other treatment studies or remote patient management programs
• Participation in the iCardia4H pilot trial (conducted before this study)

• Diagnosis of Stage C Heart Failure
• ≥ 18 years of age
• Transthoracic Echocardiogram or Cardiac MRI performed in the last 3 years and LVEF results available
• Patient is actively treated with oral loop diuretics for chronic heart failure
• Hospitalization due to acute decompensated heart failure within 24 months before randomization and/or insufficient self-care per SCHFI assessment (score of ≤3, in at least two items of the SCHFI v7.2 maintenance, symptom monitoring, or self-care management subscale)
• Ability to speak and read English