Heart failure & cardiomyopathiesCohort study

Results of the Precision Event Monitoring for Patients With Heart Failure Using HeartLogic Study (PREEMPT-HF)

JACC Heart FailPublished

  • Prospective observational study
  • global
  • single-arm
  • patients and clinicians blinded to index and alerts
  • 103 sites

Authors' conclusion

HeartLogic index trends were significantly different for patients who were readmitted for HF. These trends suggest that individuals at risk for readmission have had a more sustained worsening and/or insufficient intervention during the initial hospitalization for HF.

Study context

Population
Adult heart failure (HF) patients remotely monitored with HeartLogic-capable ICD and CRT devices
Participants
2,155 participants · 103 sites
Outcome
Association between monitoring data (HeartLogic index) and readmissions after HF hospitalization
Follow-up
12 months

Main finding

As reported in the abstract

Readmissions after index HF hospitalization

HF hospitalizations

243

Index HF hospitalizations

156 (64%)

Unplanned all-cause readmissions within 30 days of discharge

25 (28%)

All-cause readmissions within 90 days

45 (46%)

Observational data: associations, not effects.

Further findings

Alert performance for HF outpatient visits and hospitalizations

Alert sensitivity
78.3%
False-positive rate
1.18/year

Original publication

Results of the Precision Event Monitoring for Patients With Heart Failure Using HeartLogic Study (PREEMPT-HF). JACC Heart Fail. Published 23 April 2025. doi:10.1016/j.jchf.2025.01.028

Summarised from the published abstract; every number is checked against it