Heart failure & cardiomyopathies

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

JACC Heart FailPublished Prospective observational study

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
Methodological detailsglobal, single-arm, patients and clinicians blinded to index and alerts, 103 sites
  • Global
  • Single-arm
  • Patients and clinicians blinded to index and alerts
  • 103 sites

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

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