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This is an early access version, the complete PDF, HTML, and XML versions will be available soon.
Article

Remote Heart Failure Patients Telemonitoring: Results of the TreC Heart Failure Study

by
Massimiliano Maines
1,†,
Annachiara Benini
1,*,†,
Annalisa Vinci
1,
Anna Manica
1,
Elisa Erbogasto
2,
Giancarlo Tomasi
1,
Luisa Poian
1,
Luigi Martinelli
3,
Lorenzo Gios
4,
Stefano Forti
4,
Luigi Patil
5,
William Mantovani
3 and
Maurizio Del Greco
1
1
Division of Cardiology, Santa Maria del Carmine Hospital—Rovereto, Azienda Provinciale per i Servizi Sanitari (APSS), 38123 Trento, Italy
2
Division of Cardiology, Verona University Hospital, 37129 Verona, Italy
3
Division of Epidemiology, Azienda Provinciale per i Servizi Sanitari (APSS), 38123 Trento, Italy
4
Bruno Kessler Foundation, 38123 Trento, Italy
5
Technology Department, Azienda Provinciale per i Servizi Sanitari (APSS), 38123 Trento, Italy
*
Author to whom correspondence should be addressed.
†
These authors contributed equally to this work.
J. Cardiovasc. Dev. Dis. 2025, 12(5), 182; https://doi.org/10.3390/jcdd12050182
Submission received: 22 March 2025 / Revised: 1 May 2025 / Accepted: 7 May 2025 / Published: 13 May 2025
(This article belongs to the Special Issue Heart Failure: Focus on Management and Prognosis)
Versions Notes

Abstract

(1) Aims: In our study, we evaluated the effectiveness of a telemonitoring program based on a nursing clinic, supported by a physician who remotely monitors patients via a dedicated application (TreC Cardiology), in reducing visits and hospitalizations for HF in patients affected by HF living in Trentino in Italy. (2) Methods and Results: The TreC Heart Failure (TreC HF) study prospectively enrolled consecutive patients diagnosed with HF who attended our outpatient clinic and who were provided with the TreC Cardiology application. We analyzed primarily the number of visits and hospitalizations, comparing the year before and after the enrollment. From March 2021 to June 2023, we enrolled 211 patients, predominantly male (70.1%) and with a mean age of 71.5 ± 12.6 years. At baseline, 43.6% of patients were diagnosed with HFrEF, 28% with HFmrEF, and 28.4% with HFpEF. The mean left-ventricular ejection fraction (LV-EF) was 43.2 ± 11.9%. Outpatient visits in the year before the enrollment were on average 2.0 ± 1.2 vs. 1.6 ± 1.3 (p = 0.002) in the same following period. The percentage of patients who were hospitalized for heart failure went from 25.6% to 4.7% (p < 0.001). Analyzing HF categories separately, we found that, in the HFrEF population, after the enrollment, hospitalization for HF significantly decreased (32.6% vs. 7.6%, p < 0.001), while the number of outpatient visits did not vary (2.1 ± 1.4 vs. 2.1 ± 1.3, p = 0.795). In HFmrEF patients, both hospitalization for HF and outpatient visits significantly decreased (respectively, 30.5% vs. 1.7%, p < 0.001 and 2.0 ± 1.0 vs. 1.5 ± 1.3, p = 0.025). Finally, in the HFpEF population, only the number of outpatient visits significantly decreased after the enrollment (2.0 ± 1.1 vs. 1.0 ± 0.8, p < 0.001). (3) Conclusions: Our results confirm the enormous potential of telemonitoring, since in a real-world population affected by heart failure, it resulted in a significant reduction in hospitalization for HF and the number of outpatient visits.
Keywords: heart failure; telemonitoring; heart failure hospitalization heart failure; telemonitoring; heart failure hospitalization

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MDPI and ACS Style

Maines, M.; Benini, A.; Vinci, A.; Manica, A.; Erbogasto, E.; Tomasi, G.; Poian, L.; Martinelli, L.; Gios, L.; Forti, S.; et al. Remote Heart Failure Patients Telemonitoring: Results of the TreC Heart Failure Study. J. Cardiovasc. Dev. Dis. 2025, 12, 182. https://doi.org/10.3390/jcdd12050182

AMA Style

Maines M, Benini A, Vinci A, Manica A, Erbogasto E, Tomasi G, Poian L, Martinelli L, Gios L, Forti S, et al. Remote Heart Failure Patients Telemonitoring: Results of the TreC Heart Failure Study. Journal of Cardiovascular Development and Disease. 2025; 12(5):182. https://doi.org/10.3390/jcdd12050182

Chicago/Turabian Style

Maines, Massimiliano, Annachiara Benini, Annalisa Vinci, Anna Manica, Elisa Erbogasto, Giancarlo Tomasi, Luisa Poian, Luigi Martinelli, Lorenzo Gios, Stefano Forti, and et al. 2025. "Remote Heart Failure Patients Telemonitoring: Results of the TreC Heart Failure Study" Journal of Cardiovascular Development and Disease 12, no. 5: 182. https://doi.org/10.3390/jcdd12050182

APA Style

Maines, M., Benini, A., Vinci, A., Manica, A., Erbogasto, E., Tomasi, G., Poian, L., Martinelli, L., Gios, L., Forti, S., Patil, L., Mantovani, W., & Del Greco, M. (2025). Remote Heart Failure Patients Telemonitoring: Results of the TreC Heart Failure Study. Journal of Cardiovascular Development and Disease, 12(5), 182. https://doi.org/10.3390/jcdd12050182

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