Therapeutic Education by Telemedicine in Chronic Heart Failure

Impact of Clinical Follow-up and Therapeutic Education by Telemedicine in Chronic Heart Failure: a Randomized Multicenter Study.

The purpose of the SEDIC study is to test a home based heart failure patient clinical follow-up and therapeutic education using telemedicine. This educational follow-up is based on an interactive information system (SCAD) including a touch screen personal computer for heart failure patient at home. An interactive algorithm has been developed to allow a self management teaching to the patient.Furthermore, a specialized nurse provide a clinical data follow-up.

Inclusion Criteria:

• Patients > 65 years old hospitalized for acute heart failure
• Left ventricle systolic Dysfunction with ejection fraction < 45 %, documented in the previous 6 months
• And at least one of the following criteria:

BNP before discharge from hospital > 350 pg/ml / EF < 35 % / Hospitalization for acute heart failure informed in the previous 6 months

Exclusion Criteria:

• NYHA 4 at hospital discharge
• Planned cardiac surgery or coronary revascularization
• Hospitalization for ST-elevation acute coronary syndrome
• Depressive syndrome with score > 20 at geriatric depression scale
• Therapeutic education impossible
• Technical problems with the device
• Limited autonomy for device use
• Patient not living in Basse-Normandie
• Ongoing participation in another clinical trial