Non-invasive heart failure monitoring: leveraging smart scales and digital biomarkers to improve heart failure outcomes

Heart Fail Rev. 2024 Sep;29(5):1145-1156. doi: 10.1007/s10741-024-10426-6. Epub 2024 Jul 23.

Abstract

Heart failure (HF) is a significant global concern, impacting patient morbidity, mortality, and healthcare costs. Guideline-directed medical therapy and various preventive measures have proven effective in improving clinical outcomes and reducing HF hospitalizations. Recent data indicates that remote HF monitoring facilitates early detection of HF decompensation by observing upstream events and parameters before clinical signs and symptoms manifest. Moreover, these innovative devices have been shown to decrease unnecessary HF hospitalizations and, in some cases, provide predictive insights before an actual HF incident. In this review, we aim to explore the data regarding smart scales and digital biomarkers and summarize both FDA-approved devices and emerging technologies by assessing their clinical utility, mechanism of HF decompensation detection, and ongoing trials. Furthermore, we also discuss the future trend of integrating these devices into routine clinical practice to improve patient clinical outcomes.

Keywords: Digital cardiac biomarkers; Heart failure; Lung fluid analysis; Non-invasive remote monitoring; Smart scales.

Publication types

  • Review

MeSH terms

  • Biomarkers*
  • Heart Failure* / diagnosis
  • Heart Failure* / therapy
  • Humans
  • Monitoring, Physiologic / methods

Substances

  • Biomarkers