Long-term monitoring of sleep apnea at home in heart failure patients: Preliminary results from the HHH study

G. D. Pinna, R. Maestri, E. Gobbi, S. Capomolla, C. Campana, M. Emdin, A. Di Lenarda, M. T. La Rovere, D. Andrews, P. Johnson, A. Mortara, P. Sleight

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

Sleep apnea is very common in patients with chronic heart failure (CHF) and has important implications in terms of morbidity, mortality and clinical management. Home respiratory telemonitoring might constitute a potential low-cost, widely-applicable alternative to traditional polysomnography in the evaluation and long-term monitoring of breathing disorders in these patients. In this paper we briefly describe the technological infrastructure and present preliminary results of the European Community multicountry trial HHH (Home or Hospital in Heart Failure), which is currently testing a novel system for home telemonitoring of cardiorespiratory signals in CHF patients. The recording and transmitting devices are suitable to be self-managed by the patient. We give a detailed report on the prevalence of nocturnal respiratory disorders at the beginning of the one-year follow-up and on their persistency over the following recordings (one per month). These preliminary findings clearly indicate that intermittent home telemonitoring of respiratory signals based on patient's self-management is feasible in CHF patients and the compliance is high. Reported statistics unambiguously confirm the high prevalence of nocturnal breathing disorders in these patients and clearly show that this phenomenon tends to persist over time.

Original languageEnglish
Title of host publicationAnnual International Conference of the IEEE Engineering in Medicine and Biology - Proceedings
Pages3874-3877
Number of pages4
Volume26 V
Publication statusPublished - 2004
EventConference Proceedings - 26th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2004 - San Francisco, CA, United States
Duration: Sep 1 2004Sep 5 2004

Other

OtherConference Proceedings - 26th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2004
CountryUnited States
CitySan Francisco, CA
Period9/1/049/5/04

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Keywords

  • Heart failure
  • Home telemonitoring
  • Periodic breathing
  • Sleep apnea

ASJC Scopus subject areas

  • Bioengineering

Cite this

Pinna, G. D., Maestri, R., Gobbi, E., Capomolla, S., Campana, C., Emdin, M., Di Lenarda, A., La Rovere, M. T., Andrews, D., Johnson, P., Mortara, A., & Sleight, P. (2004). Long-term monitoring of sleep apnea at home in heart failure patients: Preliminary results from the HHH study. In Annual International Conference of the IEEE Engineering in Medicine and Biology - Proceedings (Vol. 26 V, pp. 3874-3877)