Education and Training
Mobile Technology-Based System for Patient Engagement and Physician-Directed Remote Management of Heart Failure
This pilot study is to assess the feasibility, preliminary utility and acceptance of a digital technology-based system for heart failure management.
Stanford is currently not accepting patients for this trial.
Stanford Investigator(s):
Intervention(s):
- other: A combination of a provider-facing desktop and mobile application with a patient-facing mobile application
Eligibility
Inclusion Criteria:
- Age ≥ 18
- Diagnosis of heart failure
- Most recent left ventricular ejection fraction ≤ 40% in the prior year based on
echocardiogram, MRI, CT, or nuclear perfusion
- Primary cardiologist enrolled in the study
- Currently admitted with upcoming discharge or discharged from hospital within the
prior 2 weeks
- At least two eligible heart failure therapies (guideline-recommended BB, RASI, MRA, or
SGLT2i) not yet initiated or on ≤ 50% of target dose
Exclusion Criteria:
- Receives dialysis
- Inotropic therapy during hospitalization
- History of heart transplant or actively listed on heart transplant waiting list
- History of left ventricular assist device implantation
- Cardiac amyloidosis
- Pregnant or currently trying to be pregnant
- Life expectancy estimated less than 6 months related to non-cardiac comorbidities as
per investigator's judgement
- Actively enrolled in hospice or comfort care
- Currently participating in an investigational device or drug study or having
participated in such a study within 30 days prior to screening
- Subject or their caregiver without a smartphone
- Subject or their caregiver not proficient with written and spoken English
- Subject unavailable to complete all study procedures (e.g., interviews) to the best of
the subject and investigator's knowledge
- Any other disorder or condition that, in the opinion of the investigator would pose a
risk to subject safety or interfere with the study evaluation, procedures or
completion
- Subject has diminished decision-making capacity
- Planned discharge to skilled nursing facility
Ages Eligible for Study
18 Years - N/A
Genders Eligible for Study
All
Not currently accepting new patients for this trial
Contact Information
Stanford University
School of Medicine
300 Pasteur Drive
Stanford,
CA
94305
Alexander Sandhu, MD
Not Recruiting