{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T03:32:08Z","timestamp":1772249528369,"version":"3.50.1"},"reference-count":87,"publisher":"MDPI AG","issue":"24","license":[{"start":{"date-parts":[[2024,12,20]],"date-time":"2024-12-20T00:00:00Z","timestamp":1734652800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Healthcare"],"abstract":"<jats:p>Background: Heart failure (HF) management increasingly relies on innovative solutions to enhance monitoring and care. Wearable devices, originally popularized for fitness tracking, show promise in clinical decision-making for HF. This study explores the application and potential for the broader integration of wearable technology in HF management, emphasizing remote monitoring and personalized care. Methods: A comprehensive literature review was performed to assess the role of wearables in HF management, focusing on functionalities like vital sign tracking, patient engagement, and clinical decision support. Clinical outcomes and barriers to adopting wearable technology in HF care were critically analyzed. Results: Wearable devices increasingly track physiological parameters relevant to HF, such as heart rate, physical activity, and sleep. They can identify at-risk patients, promote lifestyle changes, facilitate early diagnosis, and accurately detect arrhythmias that lead to decompensation. Additionally, wearables may assess fluid status, identifying early signs of decompensation to prevent hospitalization and supporting therapeutic adjustments. They also enhance physical activity and optimize cardiac rehabilitation programs, improving patient outcomes. Both wearable and implanted cardiac devices enable continuous, non-invasive monitoring through small devices. However, challenges like data integration, regulatory approval, and reimbursement impede their widespread adoption. Conclusions: Wearable technology can transform HF management through continuous monitoring and early interventions. Collaboration among involved parties is essential to overcome integration challenges and validate most of these devices in clinical practice.<\/jats:p>","DOI":"10.3390\/healthcare12242572","type":"journal-article","created":{"date-parts":[[2024,12,23]],"date-time":"2024-12-23T05:58:27Z","timestamp":1734933507000},"page":"2572","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["From Wristbands to Implants: The Transformative Role of Wearables in Heart Failure Care"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-3039-1749","authenticated-orcid":false,"given":"Catarina","family":"Greg\u00f3rio","sequence":"first","affiliation":[{"name":"Department of Cardiology, Hospital de Santa Maria (ULSSM), 1649-028 Lisbon, Portugal"},{"name":"Centro Acad\u00e9mico de Medicina de Lisboa (CAML), 1649-028 Lisbon, Portugal"},{"name":"Cardiovascular Center of the University of Lisbon (CCUL@RISE), 1649-028 Lisbon, Portugal"},{"name":"Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal"}]},{"given":"Jo\u00e3o R.","family":"Agostinho","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Hospital de Santa Maria (ULSSM), 1649-028 Lisbon, Portugal"},{"name":"Centro Acad\u00e9mico de Medicina de Lisboa (CAML), 1649-028 Lisbon, Portugal"},{"name":"Cardiovascular Center of the University of Lisbon (CCUL@RISE), 1649-028 Lisbon, Portugal"},{"name":"Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal"}]},{"given":"Joana","family":"Rigueira","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Hospital de Santa Maria (ULSSM), 1649-028 Lisbon, Portugal"},{"name":"Centro Acad\u00e9mico de Medicina de Lisboa (CAML), 1649-028 Lisbon, Portugal"},{"name":"Cardiovascular Center of the University of Lisbon (CCUL@RISE), 1649-028 Lisbon, Portugal"},{"name":"Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal"}]},{"given":"Rafael","family":"Santos","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Hospital de Santa Maria (ULSSM), 1649-028 Lisbon, Portugal"},{"name":"Centro Acad\u00e9mico de Medicina de Lisboa (CAML), 1649-028 Lisbon, Portugal"},{"name":"Cardiovascular Center of the University of Lisbon (CCUL@RISE), 1649-028 Lisbon, Portugal"},{"name":"Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8034-4529","authenticated-orcid":false,"given":"Fausto J.","family":"Pinto","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Hospital de Santa Maria (ULSSM), 1649-028 Lisbon, Portugal"},{"name":"Centro Acad\u00e9mico de Medicina de Lisboa (CAML), 1649-028 Lisbon, Portugal"},{"name":"Cardiovascular Center of the University of Lisbon (CCUL@RISE), 1649-028 Lisbon, Portugal"},{"name":"Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal"}]},{"given":"Dulce","family":"Brito","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Hospital de Santa Maria (ULSSM), 1649-028 Lisbon, Portugal"},{"name":"Centro Acad\u00e9mico de Medicina de Lisboa (CAML), 1649-028 Lisbon, Portugal"},{"name":"Cardiovascular Center of the University of Lisbon (CCUL@RISE), 1649-028 Lisbon, Portugal"},{"name":"Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2024,12,20]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2235","DOI":"10.1093\/eurheartj\/ehac021","article-title":"Hospitalization for HF: A window of opportunity","volume":"43","author":"Wachter","year":"2022","journal-title":"Eur. Heart J."},{"key":"ref_2","first-page":"175","article-title":"Prognostic value of electrical bioimpedance measured with a portable and wireless device in acute HF","volume":"163","author":"Campos","year":"2024","journal-title":"Med. Clin."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"4444","DOI":"10.1002\/ehf2.13646","article-title":"\u2018Time is prognosis\u2019 in HF: Time-to-treatment initiation as a modifiable risk factor","volume":"8","author":"Abdin","year":"2021","journal-title":"ESC Heart Fail."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"S9","DOI":"10.1016\/j.cvdhj.2022.09.002","article-title":"Digital health technology in the prevention of HF and coronary artery disease","volume":"3","author":"Gray","year":"2022","journal-title":"Cardiovasc. Digit. Health J."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"2333","DOI":"10.1002\/ejhf.2655","article-title":"Device-Based Remote Monitoring Strategies for Congestion-Guided Management of Patients with Heart Failure: A Systematic Review and Meta-Analysis","volume":"24","author":"Zito","year":"2022","journal-title":"Eur. J. Heart Fail."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"2620","DOI":"10.1089\/tmj.2024.0067","article-title":"Telemedicine and Remote Management of Patients with Heart Failure: From Theory to Daily Practice","volume":"30","author":"Savoldelli","year":"2024","journal-title":"Telemed. J. E Health"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"86","DOI":"10.15420\/cfr.2019.5.3","article-title":"Remote Management of Heart Failure: An Overview of Telemonitoring Technologies","volume":"5","author":"Brahmbhatt","year":"2019","journal-title":"Card. Fail. Rev."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1007\/s12471-018-1198-x","article-title":"Telemonitoring with an implantable loop recorder in outpatient HF care: One-year follow-up report from a prospective observational Dutch multicentre study","volume":"27","author":"Kort","year":"2019","journal-title":"Neth. Heart J."},{"key":"ref_9","first-page":"922","article-title":"The Future of Wearables in HF Patients","volume":"7","author":"DeVore","year":"2019","journal-title":"J. Am. Coll. Cardiol. Heart Fail."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1007\/s11897-020-00467-x","article-title":"The Role of Wearables in HF","volume":"17","author":"Singhal","year":"2020","journal-title":"Curr. Heart Fail. Rep."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1146\/annurev-med-052422-020437","article-title":"Wearable Devices: Implications for Precision Medicine and the Future of Health Care","volume":"75","author":"Babu","year":"2024","journal-title":"Annu. Rev. Med."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Dhingra, L.S., Aminorroaya, A., Oikonomou, E.K., Nargesi, A.A., Wilson, F.P., Krumholz, H.M., and Khera, R. (2023). Use of Wearable Devices in Individuals With or at Risk for Cardiovascular Disease in the US, 2019 to 2020. JAMA Netw. Open, 6.","DOI":"10.1001\/jamanetworkopen.2023.16634"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1372","DOI":"10.1093\/europace\/euac052","article-title":"Wearables, telemedicine, and artificial intelligence in arrhythmias and HF: Proceedings of the European Society of Cardiology Cardiovascular Round Table","volume":"24","author":"Leclercq","year":"2022","journal-title":"Europace"},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"KKang, H.S., and Exworthy, M. (2022). Wearing the Future-Wearables to Empower Users to Take Greater Responsibility for Their Health and Care: Scoping Review. JMIR Mhealth Uhealth, 10.","DOI":"10.2196\/35684"},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Smeets, C.J., Vranken, J., Van der Auwera, J., Verbrugge, F.H., Mullens, W., Dupont, M., Grieten, L., De Canni\u00e8re, H., Lanssens, D., and Vandenberk, T. (2017). Bioimpedance Alerts from Cardiovascular Implantable Electronic Devices: Observational Study of Diagnostic Relevance and Clinical Outcomes. J. Med. Internet Res., 19.","DOI":"10.2196\/jmir.8066"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1016\/S0140-6736(15)00723-0","article-title":"Sustained efficacy of pulmonary artery pressure to guide adjustment of chronic HF therapy: Complete follow-up results from the CHAMPION randomised trial","volume":"387","author":"Abraham","year":"2016","journal-title":"Lancet"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"808","DOI":"10.1093\/eurjhf\/hft050","article-title":"Heart Failure Association of the European Society of Cardiology (HFA).EURObservational Research Programme: Regional differences and 1-year follow-up results of the HF Pilot Survey (ESC-HF Pilot)","volume":"15","author":"Maggioni","year":"2013","journal-title":"Eur. J. Heart Fail."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"2301","DOI":"10.1038\/s41591-022-02012-w","article-title":"Association of step counts over time with the risk of chronic disease in the All of Us Research Program","volume":"28","author":"Master","year":"2022","journal-title":"Nat. Med."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Xiao, H., Zhou, Z., Ma, Y., Li, X., Ding, K., Dai, X., and Chen, D. (2024). Association of wearable device-measured step volume and variability with blood pressure in older Chinese adults: Mobile-based longitudinal observational study. J. Med. Internet Res., 26.","DOI":"10.2196\/50075"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"e615","DOI":"10.1016\/S2589-7500(22)00111-X","article-title":"Effectiveness of wearable activity trackers to increase physical activity and improve health: A systematic review of systematic reviews and meta-analyses","volume":"4","author":"Ferguson","year":"2022","journal-title":"Lancet Digit. Health"},{"key":"ref_21","first-page":"834","article-title":"The Differential Diagnosis of Dyspnea","volume":"113","author":"Berliner","year":"2016","journal-title":"Dtsch. Arztebl. Int."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"044001","DOI":"10.1088\/1361-6579\/ab7f93","article-title":"Detecting HF using wearables: A pilot study","volume":"41","author":"Shah","year":"2020","journal-title":"Physiol. Meas."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Chetran, A., Costache, A.D., Ciongradi, C.I., Duca, S.T., Mitu, O., Sorodoc, V., Cianga, C.M., Tuchilus, C., Mitu, I., and Mitea, R.D. (2022). ECG and Biomarker Profile in Patients with Acute Heart Failure: A Pilot Study. Diagnostics, 3.","DOI":"10.3390\/diagnostics12123037"},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Almarshad, M.A., Islam, M.S., Al-Ahmadi, S., and BaHammam, A.S. (2022). Diagnostic Features and Potential Applications of PPG Signal in Healthcare: A Systematic Review. Healthcare, 10.","DOI":"10.3390\/healthcare10030547"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1016\/j.jchf.2019.03.005","article-title":"Heart Failure and Atrial Fibrillation, Like Fire and Fury","volume":"7","author":"Benjamin","year":"2019","journal-title":"JACC Heart Fail."},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Pereira, T., Tran, N., Gadhoumi, K., Pelter, M.M., Do, D.H., Lee, R.J., Colorado, R., Meisel, K., and Hu, X. (2020). Photoplethysmography based atrial fibrillation detection: A review. NPJ Digit. Med., 3.","DOI":"10.1038\/s41746-019-0207-9"},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Bonomi, A.G., Schipper, F., Eerik\u00e4inen, L.M., Margarito, J., van Dinther, R., Muesch, G., de Morree, H.M., Aarts, R.M., Babaeizadeh, S., and McManus, D.D. (2018). Atrial Fibrillation Detection Using a Novel Cardiac Ambulatory Monitor Based on Photo-Plethysmography at the Wrist. J. Am. Heart Assoc., 7.","DOI":"10.1161\/JAHA.118.009351"},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Fernstad, J., Svennberg, E., \u00c5berg, P., Kemp Gudmundsdottir, K., Jansson, A., and Engdahl, J. (2024). Validation of a novel smartphone-based photoplethysmographic method for ambulatory heart rhythm diagnostics: The SMARTBEATS study. Europace, 26.","DOI":"10.1093\/europace\/euae079"},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Ferguson, C., Wynne, R., and Inglis, S.C. (2021). Wearable cardiac monitoring using smart-devices for the detection of atrial fibrillation in adults. Cochrane Database Syst. Rev., 2021.","DOI":"10.1002\/14651858.CD014629"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1909","DOI":"10.1056\/NEJMoa1901183","article-title":"Large-Scale Assessment of a Smartwatch to Identify Atrial Fibrillation","volume":"381","author":"Perez","year":"2019","journal-title":"N. Engl. J. Med."},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Perino, A.C., Gummidipundi, S.E., Lee, J., Hedlin, H., Garcia, A., Ferris, T., Balasubramanian, V., Gardner, R.M., Cheung, L., and Hung, G. (2021). Apple Heart Study Investigators.Arrhythmias Other Than Atrial Fibrillation in Those With an Irregular Pulse Detected With a Smartwatch: Findings From the Apple Heart Study. Circ. Arrhythm. Electrophysiol., 14.","DOI":"10.1161\/CIRCEP.121.010063"},{"key":"ref_32","first-page":"232","article-title":"Clinical Validation of 5 Direct-to-Consumer Wearable Smart Devices to Detect Atrial Fibrillation: BASEL Wearable Study","volume":"9","author":"Mannhart","year":"2023","journal-title":"J. Am. Coll. Cardiol. EP"},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Rashkovska, A., Depolli, M., Toma\u0161i\u0107, I., Avbelj, V., and Trobec, R. (2020). Medical-Grade ECG Sensor for Long-Term Monitoring. Sensors, 20.","DOI":"10.3390\/s20061695"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1016\/j.ijcard.2018.02.073","article-title":"Smart watches for heart rate assessment in atrial arrhythmias","volume":"266","author":"Koshy","year":"2018","journal-title":"Int. J. Cardiol."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Liu, X., Fan, J., Guo, Y., Dai, H., Xu, J., Wang, L., Hu, P., Lin, X., Li, C., and Zhou, D. (2022). Wearable Smartwatch Facilitated Remote Health Management for Patients Undergoing Transcatheter Aortic Valve Replacement. J. Am. Heart Assoc., 11.","DOI":"10.1161\/JAHA.121.023219"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"C344","DOI":"10.1093\/eurheartjsupp\/suad031","article-title":"The implantable cardiac monitor in HF patients: A possible new indication?","volume":"25","author":"Cicogna","year":"2023","journal-title":"Eur. Heart J. Suppl."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1002\/clc.23930","article-title":"Preliminary results from the LUX-Dx insertable cardiac monitor remote programming and performance (LUX-Dx PERFORM) study","volume":"46","author":"Stolen","year":"2023","journal-title":"Clin. Cardiol."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"e228","DOI":"10.1542\/peds.112.3.e228","article-title":"Efficacy of implantable loop recorders in establishing symptom-rhythm correlation in young patients with syncope and palpitations","volume":"112","author":"Rossano","year":"2003","journal-title":"Pediatrics"},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Xing, L.Y., H\u00f8jberg, S., Kriegerg, D.W., Graff, C., Olesen, M.S., Healey, J.S., McIntyre, W.F., Brandes, A., K\u00f8ber, L., and Haugan, K.J. (2024). HF events after long-term continuous screening for atrial fibrillation: Results from the randomized LOOP study. Circ. Arrhythm. Electrophysiol., 17.","DOI":"10.1161\/CIRCEP.124.012764"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"1923","DOI":"10.1002\/ejhf.1970","article-title":"Ventricular tachyarrhythmia detection by implantable loop recording in patients with HF and preserved ejection fraction: The VIP-HF study","volume":"22","author":"Gorter","year":"2020","journal-title":"Eur. J. Heart Fail."},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Kobe, E.A., McVeigh, T., Hameed, I., and Fudim, M. (2023). HF remote monitoring: A review and implementation how-to. J. Clin. Med., 12.","DOI":"10.3390\/jcm12196200"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1001\/jamainternmed.2015.7712","article-title":"Effectiveness of remote patient monitoring after discharge of hospitalized patients with HF: The Better Effectiveness After Transition\u2014HF (BEAT-HF) randomized clinical trial","volume":"176","author":"Ong","year":"2016","journal-title":"JAMA Intern. Med."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"3996","DOI":"10.1002\/ehf2.12999","article-title":"Non-invasive Telemonitoring Improves Outcomes in Heart Failure with Reduced Ejection Fraction: A Study in High-Risk Patients","volume":"7","author":"Agostinho","year":"2020","journal-title":"ESC Heart Fail."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"1875","DOI":"10.1016\/j.jacc.2017.08.010","article-title":"Pulmonary artery pressure-guided management of patients with HF and reduced ejection fraction","volume":"70","author":"Givertz","year":"2017","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_45","doi-asserted-by":"crossref","unstructured":"Shavelle, D.M., Desai, A.S., Abraham, W.T., Bourge, R.C., Raval, N., Rathman, L.D., Heywood, J.T., Jermyn, R.A., Pelzel, J., and Jonsson, O.T. (2020). CardioMEMS Post-Approval Study Investigators.Lower rates of HF and all-cause hospitalizations during pulmonary artery pressure-guided therapy for ambulatory HF: One-year outcomes from the CardioMEMS post-approval study. Circ. Heart Fail., 13.","DOI":"10.1161\/CIRCHEARTFAILURE.119.006863"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"931","DOI":"10.1016\/j.jchf.2022.08.012","article-title":"Hemodynamically-guided management of HF across the ejection fraction spectrum: The GUIDE-HF trial","volume":"10","author":"Zile","year":"2022","journal-title":"JACC Heart Fail."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"2113","DOI":"10.1016\/S0140-6736(23)00923-6","article-title":"Remote haemodynamic monitoring of pulmonary artery pressures in patients with chronic HF (MONITOR-HF): A randomized clinical trial","volume":"401","author":"Brugts","year":"2023","journal-title":"Lancet"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"1879","DOI":"10.1016\/j.jchf.2024.05.017","article-title":"Seated pulmonary artery pressure monitoring in patients with HF: Results of the PROACTIVE-HF trial","volume":"12","author":"Guichard","year":"2024","journal-title":"JACC Heart Fail."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"902","DOI":"10.1002\/ejhf.2869","article-title":"Safety, usability, and performance of a wireless left atrial pressure monitoring system in patients with HF: The VECTOR-HF trial","volume":"25","author":"Meerkin","year":"2023","journal-title":"Eur. J. Heart Fail."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1002\/ejhf.2333","article-title":"2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: Developed by the Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). With the special contribution of the Heart Failure Association (HFA) of the ESC","volume":"24","author":"McDonagh","year":"2022","journal-title":"Eur. J. Heart Fail."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ejim.2023.04.011","article-title":"Remote multiparametric monitoring and management of HF patients through cardiac implantable electronic devices","volume":"115","author":"Boriani","year":"2023","journal-title":"Eur. J. Intern. Med."},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Gardner, R.S., Singh, J.P., Stancak, B., Nair, D.G., Cao, M., Schulze, C., Thakur, P.H., An, Q., Wehrenberg, S., and Hammill, E.F. (2018). HeartLogic multisensor algorithm identifies patients during periods of significantly increased risk of HF events: Results from the MultiSENSE study. Circ. Heart Fail., 11, Erratum in Circ. Heart Fail. 2018, 11, e000029.","DOI":"10.1161\/CIRCHEARTFAILURE.117.004669"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"3322","DOI":"10.1002\/ehf2.14890","article-title":"Prediction of HF events based on physiologic sensor data in HINODE defibrillator patients","volume":"11","author":"Nishii","year":"2024","journal-title":"ESC Heart Fail."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"1749","DOI":"10.1093\/eurheartj\/ehx015","article-title":"Daily remote monitoring of implantable cardioverter-defibrillators: Insights from pooled patient-level data from three randomized controlled trials (IN-TIME, ECOST, TRUST)","volume":"38","author":"Hindricks","year":"2017","journal-title":"Eur. Heart J."},{"key":"ref_55","doi-asserted-by":"crossref","unstructured":"Clemente, M.R.C., Felix, N., Navalha, D.D.P., Pasqualotto, E., Ferreira, R.O.M., Braga, M.A.P., Nogueira, A., Costa, T.A., Marinho, A.D., and Fernandes, A. (2024). Long-term impact of home-based monitoring after an admission for acute decompensated HF: A systematic review and meta-analysis of randomized controlled trials. eClinicalMedicine, 71.","DOI":"10.1016\/j.eclinm.2024.102541"},{"key":"ref_56","doi-asserted-by":"crossref","unstructured":"Stehlik, J., Schmalfuss, C., Bozkurt, B., Nativi-Nicolau, J., Wohlfahrt, P., Wegerich, S., Rose, K., Ray, R., Schofield, R., and Deswal, A. (2020). Continuous wearable monitoring analytics predict HF hospitalization: The LINK-HF multicenter study. Circ. Heart Fail., 13.","DOI":"10.1161\/CIRCHEARTFAILURE.119.006513"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"2011","DOI":"10.1016\/j.jchf.2024.07.022","article-title":"Impact of a novel wearable sensor on HF rehospitalization: An open-label concurrent-control clinical trial","volume":"12","author":"Boehmer","year":"2024","journal-title":"JACC Heart Fail."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"1047","DOI":"10.1002\/ehf2.13026","article-title":"Early use of remote dielectric sensing after hospitalization to reduce HF readmissions","volume":"8","author":"Lala","year":"2021","journal-title":"ESC Heart Fail."},{"key":"ref_59","doi-asserted-by":"crossref","unstructured":"Fudim, M., Yazdi, D., Egolum, U., Haghighat, A., Kottam, A., Sauer, A.J., Shah, H., Kumar, P., Rakita, V., and Centen, C. (2023). Use of a cardiac scale to predict HF events: Design of SCALE-HF 1. Circ. Heart Fail., 16.","DOI":"10.1161\/CIRCHEARTFAILURE.122.010012"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"2030","DOI":"10.1038\/s41591-024-03094-4","article-title":"Consumer wearable devices for evaluation of heart rate control using digoxin versus beta-blockers: The RATE-AF randomized trial","volume":"30","author":"Gill","year":"2024","journal-title":"Nat. Med."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"2314","DOI":"10.1056\/NEJMoa1510774","article-title":"Isosorbide Mononitrate in Heart Failure with Preserved Ejection Fraction","volume":"373","author":"Redfield","year":"2015","journal-title":"N. Engl. J. Med."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1161\/CIRCHEARTFAILURE.114.001598","article-title":"Nitrate\u2019s effect on activity tolerance in HF with preserved ejection fraction trial: Rationale and design","volume":"8","author":"Zakeri","year":"2015","journal-title":"Circ. Heart Fail."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1007\/s40256-020-00440-y","article-title":"The AWAKE-HF Study: Sacubitril\/Valsartan impact on daily physical activity and sleep in HF","volume":"21","author":"Khandwalla","year":"2021","journal-title":"Am. J. Cardiovasc. Drugs"},{"key":"ref_64","doi-asserted-by":"crossref","unstructured":"Iliodromitis, K., Balogh, Z., Triposkiadis, F., Deftereos, S., Vrachatis, D., Bimpong-Buta, N.Y., Schiedat, F., and Bogossian, H. (2023). Assessing physical activity with the wearable cardioverter defibrillator in patients with newly diagnosed HF. Front. Cardiovasc. Med., 10.","DOI":"10.3389\/fcvm.2023.1176710"},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"E14","DOI":"10.1097\/HCR.0000000000000441","article-title":"Wearable cardioverter defibrillator-guided 6-min walk test performed at home is accurate and reliable: Results of the TRENDS study","volume":"40","author":"Burch","year":"2020","journal-title":"J. Cardiopulm. Rehabil. Prev."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1093\/eurjpc\/zwab154","article-title":"2021 ESC Guidelines on cardiovascular disease prevention in clinical practice","volume":"29","author":"Visseren","year":"2022","journal-title":"Eur. J. Prev. Cardiol."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"727","DOI":"10.4070\/kcj.2023.0242","article-title":"Remote cardiac rehabilitation with wearable devices","volume":"53","author":"Nakayama","year":"2023","journal-title":"Korean Circ. J."},{"key":"ref_68","doi-asserted-by":"crossref","unstructured":"Harzand, A., Alrohaibani, A., Idris, M.Y., Spence, H., Parrish, C.G., Rout, P.K., Nazar, R., Davis-Watts, M.L., Wright, P.P., and Vakili, A. (2023). Effects of a patient-centered digital health intervention in patients referred to cardiac rehabilitation: The Smart HEART clinical trial. BMC Cardiovasc. Disord., 23.","DOI":"10.1186\/s12872-023-03471-w"},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"3751","DOI":"10.1002\/ehf2.14145","article-title":"Efficacy and safety of digital therapeutics-based cardiac rehabilitation in HF patients: A systematic review","volume":"9","author":"Zhang","year":"2022","journal-title":"ESC Heart Fail."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1001\/jamacardio.2019.5006","article-title":"Effects of a 9-week hybrid comprehensive telerehabilitation program on long-term outcomes in patients with HF: The telerehabilitation in HF patients (TELEREH-HF) randomized clinical trial","volume":"5","author":"Piotrowicz","year":"2020","journal-title":"JAMA Cardiol."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1016\/j.ijcard.2015.07.041","article-title":"Hospital-based and telemonitoring guided home-based training programs: Effects on exercise tolerance and quality of life in patients with HF (NYHA class III) and cardiac resynchronization therapy. A randomized, prospective observation","volume":"199","author":"Piotrowicz","year":"2015","journal-title":"Int. J. Cardiol."},{"key":"ref_72","doi-asserted-by":"crossref","unstructured":"Mitropoulos, A., Anifanti, M., Koukouvou, G., Ntovoli, A., Alexandris, K., and Kouidi, E. (2024). Exploring the effects of real-time online cardiac telerehabilitation using wearable devices compared to gym-based cardiac exercise in people with a recent myocardial infarction: A randomized controlled trial. Front. Cardiovasc. Med., 11.","DOI":"10.3389\/fcvm.2024.1410616"},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"1439","DOI":"10.1001\/jama.2009.454","article-title":"Efficacy and safety of exercise training in patients with chronic HF: HF-ACTION randomized controlled trial","volume":"301","author":"Whellan","year":"2009","journal-title":"JAMA"},{"key":"ref_74","doi-asserted-by":"crossref","unstructured":"Katsumata, Y., Muramoto, Y., Ishida, N., Takemura, R., Nagashima, K., Ikoma, T., Kawamatsu, N., Araki, M., Goda, A., and Okawara, H. (2024). Sweat lactate sensor for detecting anaerobic threshold in HF: A prospective clinical trial (LacS-001). Sci. Rep., 14.","DOI":"10.1038\/s41598-024-70001-9"},{"key":"ref_75","doi-asserted-by":"crossref","unstructured":"Uriel, N., Bhatt, K., Kahwash, R., McMinn, T.R., Patel, M.R., Lilly, S., Britton, J.R., Corcoran, L., Greene, B.R., and Kealy, R.M. (2024). Safety and feasibility of an implanted inferior vena cava sensor for accurate volume assessment: The FUTURE-HF2 trial. J. Card. Fail.","DOI":"10.1016\/j.cardfail.2024.09.003"},{"key":"ref_76","first-page":"41","article-title":"Remote speech analysis in the evaluation of hospitalized patients with acute decompensated HF","volume":"10","author":"Amir","year":"2022","journal-title":"J. Am. Coll. Cardiol. HF"},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"785","DOI":"10.1016\/j.jchf.2022.07.004","article-title":"Retinal microvasculature: A potential window into HF prevention","volume":"10","author":"Chaikijurajai","year":"2022","journal-title":"JACC Heart Fail."},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"1207","DOI":"10.1002\/ejhf.1564","article-title":"The association of retinal vessel calibers with HF and long-term alterations in cardiac structure and function: The Atherosclerosis Risk in Communities (ARIC) Study","volume":"21","author":"Chandra","year":"2019","journal-title":"Eur. J. Heart Fail."},{"key":"ref_79","doi-asserted-by":"crossref","unstructured":"Lee, K.H., Kim, Y.R., Yoon, N.S., and Park, H.W. (2024). Wearable self-powered ballistic signal detectors with ferroelectric composites arrays for cardiovascular and diabetic complications. EP Europace, 26.","DOI":"10.1093\/europace\/euae102.634"},{"key":"ref_80","doi-asserted-by":"crossref","unstructured":"Fallahzadeh, R., Pedram, M., and Ghasemzadeh, H. (2016, January 16\u201320). SmartSock: A wearable platform for context-aware assessment of ankle edema. Proceedings of the 2016 38th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), Orlando, FL, USA.","DOI":"10.1109\/EMBC.2016.7592169"},{"key":"ref_81","doi-asserted-by":"crossref","unstructured":"Dias, S., Dwivedi, G., Afsharan, H., and Kavehei, O. (2024). A Non-Invasive and Non-Contact Jugular Venous Pulse Measurement: A Feasibility Study. medRxiv, (in press).","DOI":"10.1101\/2024.06.04.24308313"},{"key":"ref_82","doi-asserted-by":"crossref","unstructured":"Palmieri, F., Gomis, P., Ruiz, J.E., Ferreira, D., Mart\u00edn-Yebra, A., Pueyo, E., Mart\u00ednez, J.P., Ram\u00edrez, J., and Laguna, P. (2021). ECG-based monitoring of blood potassium concentration: Periodic versus principal component as lead transformation for biomarker robustness. Biomed. Signal Process. Control., 68.","DOI":"10.1016\/j.bspc.2021.102719"},{"key":"ref_83","doi-asserted-by":"crossref","unstructured":"Canali, S., Schiaffonati, V., and Aliverti, A. (2022). Challenges and recommendations for wearable devices in digital health: Data quality, interoperability, health equity, fairness. PLOS Digit. Health., 1.","DOI":"10.1371\/journal.pdig.0000104"},{"key":"ref_84","doi-asserted-by":"crossref","first-page":"622","DOI":"10.1093\/ehjdh\/ztae055","article-title":"Long-term adherence to a wearable for continuous behavioral activity measuring in the SafeHeart implantable cardioverter defibrillator population","volume":"5","author":"Frodi","year":"2024","journal-title":"Eur. Heart J. Digit. Health"},{"key":"ref_85","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1097\/HCR.0000000000000592","article-title":"Do wearable activity trackers increase physical activity among cardiac rehabilitation participants? A systematic review and meta-analysis","volume":"41","author":"Ashur","year":"2021","journal-title":"J. Cardiopulm. Rehabil. Prev."},{"key":"ref_86","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1093\/jamia\/ocae221","article-title":"Increasing adherence and collecting symptom-specific biometric signals in remote monitoring of HF patients: A randomized controlled trial","volume":"32","author":"Mohapatra","year":"2024","journal-title":"J. Am. Med. Inform. Assoc."},{"key":"ref_87","doi-asserted-by":"crossref","unstructured":"Nagappan, A., Krasniansky, A., and Knowles, M. (2024). Patterns of ownership and usage of wearable devices in the United States, 2020-2022: Survey study. J. Med. 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