{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T18:05:50Z","timestamp":1789754750943,"version":"4.0.1"},"reference-count":30,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T00:00:00Z","timestamp":1789171200000},"content-version":"am","delay-in-days":12,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000780","name":"European Union","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100015962","name":"Fondazione Cassa di Risparmio di Lucca","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015962","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Heart failure presents a substantial global clinical and economic burden. While invasive haemodynamic and device-based remote monitoring effectively guide its management, their economic value across diverse healthcare systems remains incompletely characterized. This scoping review evaluated the cost-effectiveness of these distinct monitoring strategies. Following established scoping-review reporting guidelines, we searched PubMed and Scopus (March 2026) for original peer-reviewed economic evaluations (e.g. cost-effectiveness or cost-utility analyses) of invasive cardiac monitoring or cardiac implantable electronic device remote monitoring in adult heart failure patients. Nineteen studies across 11 countries were included, divided into two categories: standalone invasive sensors (predominantly CardioMEMS, 10 studies) and cardiac implantable electronic device remote monitoring (nine studies), the latter spanning standard platforms and advanced alerts (HeartLogic, TriageHF Plus). The first category showed that pulmonary pressure-guided monitoring is cost-effective in high-income settings (the UK, continental Europe, and the USA), although device pricing exceeded cost-effectiveness thresholds in Argentina. The second category consistently showed cost-neutral or cost-saving outcomes compared with in-office follow-up, with the largest savings in resynchronization-defibrillator recipients. Advanced alert algorithms showed highly favourable economic profiles, although both lacked ideal comparators testing identical device platforms with the algorithm deactivated. These findings align with recent national health-technology guidance recommending both technologies. Both technologies are economically advantageous for heart failure management across multiple healthcare systems. Future research should prioritize standardized health-economic modelling, explicit separation of technology subcategories with distinct comparators, randomized algorithm-on vs. algorithm-off designs, and dedicated evaluations in low- and middle-income countries to guide equitable global deployment.<\/jats:p>","DOI":"10.1093\/ehjqcco\/qcag138","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T11:33:44Z","timestamp":1788521624000},"source":"Crossref","is-referenced-by-count":0,"title":["Economic evaluations of invasive devices for remote cardiac monitoring in chronic heart failure: a scoping review"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7505-0702","authenticated-orcid":false,"given":"Angelo","family":"Capodici","sequence":"first","affiliation":[{"name":"Interdisciplinary Research Center for Health Science, Sant\u2019Anna School of Advanced Studies , Piazza Martiri della Libert\u00e0 33, Pisa 56127 ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Noci","sequence":"additional","affiliation":[{"name":"Interdisciplinary Research Center for Health Science, Sant\u2019Anna School of Advanced Studies , Piazza Martiri della Libert\u00e0 33, Pisa 56127 ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele Alessandro","family":"Coceani","sequence":"additional","affiliation":[{"name":"Cardiology and Cardiovascular Medicine Department, Fondazione Monasterio , Via Giuseppe Moruzzi 1, Pisa 56124 ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudio","family":"Passino","sequence":"additional","affiliation":[{"name":"Interdisciplinary Research Center for Health Science, Sant\u2019Anna School of Advanced Studies , Piazza Martiri della Libert\u00e0 33, Pisa 56127 ,","place":["Italy"]},{"name":"Cardiology and Cardiovascular Medicine Department, Fondazione Monasterio , Via Giuseppe Moruzzi 1, Pisa 56124 ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Emdin","sequence":"additional","affiliation":[{"name":"Interdisciplinary Research Center for Health Science, Sant\u2019Anna School of Advanced Studies , Piazza Martiri della Libert\u00e0 33, Pisa 56127 ,","place":["Italy"]},{"name":"Cardiology and Cardiovascular Medicine Department, Fondazione Monasterio , Via Giuseppe Moruzzi 1, Pisa 56124 ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9314-2005","authenticated-orcid":false,"given":"Alberto","family":"Giannoni","sequence":"additional","affiliation":[{"name":"Interdisciplinary Research Center for Health Science, Sant\u2019Anna School of Advanced Studies , Piazza Martiri della Libert\u00e0 33, Pisa 56127 ,","place":["Italy"]},{"name":"Cardiology and Cardiovascular Medicine Department, Fondazione Monasterio , Via Giuseppe Moruzzi 1, Pisa 56124 ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,8,31]]},"reference":[{"key":"2026091813215079300_qcag138-B1","doi-asserted-by":"crossref","first-page":"3272","DOI":"10.1093\/cvr\/cvac013","article-title":"Global burden of heart failure: a comprehensive and updated review of epidemiology","volume":"118","author":"Savarese","year":"2023","journal-title":"Cardiovasc Res"},{"key":"2026091813215079300_qcag138-B2","doi-asserted-by":"crossref","first-page":"3069","DOI":"10.1093\/eurheartj\/ehaf323","article-title":"Heart failure: assessment of the global economic burden","volume":"46","author":"Darvish","year":"2025","journal-title":"Eur Heart J"},{"key":"2026091813215079300_qcag138-B3","doi-asserted-by":"crossref","first-page":"868","DOI":"10.1093\/ehjdh\/ztaf079","article-title":"Wearable technologies to predict and prevent heart failure hospitalizations: a systematic review","volume":"6","author":"Noci","year":"2025","journal-title":"Eur Heart J Digit Health"},{"key":"2026091813215079300_qcag138-B4","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1007\/s11886-019-1194-9","article-title":"Current role of the CardioMEMS device for management of patients with heart failure","volume":"21","author":"Leung","year":"2019","journal-title":"Curr Cardiol Rep"},{"key":"2026091813215079300_qcag138-B5","first-page":"935","article-title":"Wireless pulmonary artery pressure monitoring guides management to reduce decompensation in heart failure with preserved ejection fraction","volume":"7","author":"Adamson","year":"2014","journal-title":"Circ: Heart Failure"},{"key":"2026091813215079300_qcag138-B6","first-page":"e895","article-title":"2022 AHA\/ACC\/HFSA guideline for the management of heart failure: a report of the American College of Cardiology\/American Heart Association Joint Committee on Clinical Practice Guidelines","volume":"145","author":"Heidenreich","year":"2022","journal-title":"Circulation"},{"key":"2026091813215079300_qcag138-B7","doi-asserted-by":"crossref","first-page":"846","DOI":"10.1093\/europace\/euz011","article-title":"Remote monitoring of implantable cardioverter-defibrillators and resynchronization devices to improve patient outcomes: dead end or way ahead?","volume":"21","author":"Braunschweig","year":"2019","journal-title":"EP Europace"},{"key":"2026091813215079300_qcag138-B8","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ejim.2023.04.011","article-title":"Remote multiparametric monitoring and management of heart failure patients through cardiac implantable electronic devices","volume":"115","author":"Boriani","year":"2023","journal-title":"Eur J Intern Med"},{"key":"2026091813215079300_qcag138-B9","doi-asserted-by":"crossref","first-page":"1173","DOI":"10.1177\/1357633X221129176","article-title":"Economic evaluation of remote monitoring of patients with an implantable cardiac defibrillator (REMOTE-CIED study)","volume":"30","author":"De Graaf","year":"2024","journal-title":"J Telemed Telecare"},{"key":"2026091813215079300_qcag138-B10","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1002\/ejhf.747","article-title":"The cost-effectiveness of real-time pulmonary artery pressure monitoring in heart failure patients: a European perspective","volume":"19","author":"Cowie","year":"2017","journal-title":"Eur J Heart Fail"},{"key":"2026091813215079300_qcag138-B11","doi-asserted-by":"crossref","first-page":"3046","DOI":"10.1002\/ehf2.14496","article-title":"Real-time pulmonary artery pressure monitoring in heart failure patients: an updated cost-effectiveness analysis","volume":"10","author":"Cowie","year":"2023","journal-title":"ESC Heart Fail"},{"key":"2026091813215079300_qcag138-B12","doi-asserted-by":"crossref","first-page":"1189","DOI":"10.1002\/ejhf.3213","article-title":"Cost-effectiveness of remote haemodynamic monitoring by an implantable pulmonary artery pressure monitoring sensor (CardioMEMS-HF system) in chronic heart failure in The Netherlands","volume":"26","author":"Mokri","year":"2024","journal-title":"Eur J Heart Fail"},{"key":"2026091813215079300_qcag138-B13","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1016\/j.jchf.2015.12.015","article-title":"Cost-effectiveness of implantable pulmonary artery pressure monitoring in chronic heart failure","volume":"4","author":"Sandhu","year":"2016","journal-title":"JACC Heart Fail"},{"key":"2026091813215079300_qcag138-B14","doi-asserted-by":"crossref","first-page":"652","DOI":"10.1002\/ejhf.642","article-title":"Pulmonary artery pressure-guided heart failure management: US cost-effectiveness analyses using the results of the CHAMPION clinical trial","volume":"19","author":"Martinson","year":"2017","journal-title":"Eur J Heart Fail"},{"key":"2026091813215079300_qcag138-B15","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1002\/clc.22696","article-title":"Cost-effectiveness of remote cardiac monitoring with the CardioMEMS heart failure system","volume":"40","author":"Schmier","year":"2017","journal-title":"Clin Cardiol"},{"key":"2026091813215079300_qcag138-B16","doi-asserted-by":"crossref","first-page":"1955","DOI":"10.1002\/ehf2.14698","article-title":"Assessing the impact of haemodynamic monitoring with CardioMEMS on heart failure patients: a cost\u2013benefit analysis","volume":"11","author":"Codina","year":"2024","journal-title":"ESC Heart Fail"},{"key":"2026091813215079300_qcag138-B17","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1186\/s12962-021-00295-3","article-title":"Improving the monitoring of chronic heart failure in Argentina: is the implantable pulmonary artery pressure with CardioMEMS heart failure system cost-effective?","volume":"19","author":"Alcaraz","year":"2021","journal-title":"Cost Eff Resour Alloc"},{"key":"2026091813215079300_qcag138-B18","doi-asserted-by":"crossref","first-page":"3858","DOI":"10.1002\/ehf2.14056","article-title":"Ambulatory haemodynamic-guided management reduces heart failure hospitalizations in a multicentre European heart failure cohort","volume":"9","author":"Dauw","year":"2022","journal-title":"ESC Heart Fail"},{"key":"2026091813215079300_qcag138-B19","doi-asserted-by":"crossref","first-page":"798","DOI":"10.1089\/tmj.2015.0226","article-title":"Health economic impact of a pulmonary artery pressure sensor for heart failure telemonitoring: a dynamic simulation","volume":"22","author":"Kolominsky-Rabas","year":"2016","journal-title":"Telemed J E Health"},{"key":"2026091813215079300_qcag138-B20","doi-asserted-by":"crossref","DOI":"10.2196\/jmir.2587","article-title":"Cost-utility analysis of the EVOLVO study on remote monitoring for heart failure patients with implantable defibrillators: randomized controlled trial","volume":"15","author":"Zanaboni","year":"2013","journal-title":"J Med Internet Res"},{"key":"2026091813215079300_qcag138-B21","doi-asserted-by":"crossref","first-page":"1601","DOI":"10.1093\/europace\/eut070","article-title":"Cost-consequence analysis of daily continuous remote monitoring of implantable cardiac defibrillator and resynchronization devices in the UK","volume":"15","author":"Burri","year":"2013","journal-title":"Europace"},{"key":"2026091813215079300_qcag138-B22","doi-asserted-by":"crossref","first-page":"1493","DOI":"10.1093\/europace\/eux017","article-title":"Economic impact of remote monitoring after implantable defibrillators implantation in heart failure patients: an analysis from the EFFECT study","volume":"19","author":"Capucci","year":"2017","journal-title":"EP 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failure","volume":"42","author":"McDonagh","year":"2021","journal-title":"Eur Heart J"},{"key":"2026091813215079300_qcag138-B29"},{"key":"2026091813215079300_qcag138-B30","author":"National Institute for Health and Care Excellence"}],"container-title":["European Heart Journal - Quality of Care and Clinical Outcomes"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjqcco\/advance-article-pdf\/doi\/10.1093\/ehjqcco\/qcag138\/71035030\/qcag138.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjqcco\/advance-article-pdf\/doi\/10.1093\/ehjqcco\/qcag138\/71035030\/qcag138.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T17:22:04Z","timestamp":1789752124000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjqcco\/advance-article\/doi\/10.1093\/ehjqcco\/qcag138\/8790838"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":30,"URL":"https:\/\/doi.org\/10.1093\/ehjqcco\/qcag138","relation":{},"ISSN":["2058-5225","2058-1742"],"issn-type":[{"value":"2058-5225","type":"print"},{"value":"2058-1742","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,31]]},"article-number":"qcag138"}}