The Future of Cardiac Care: A Review on the Role for Non-Invasive, Home-Based Monitoring and Rehabilitation after Hospitalisation for Acute Decompensated Heart Failure

Stens, NA, Müller-Jabusch, Y, Veenhof, KELA, Goevaerts, WF, Larooi, M, Bay, J, Janssen, DM, Driessen, A, Kardys, I, Koffijberg, H, Halfwerk, FR, van der Boon, RMA, Dijkstra, K, Kool, RB, Eijsvogels, TMH, van den Bosch, AE, Kemps, HMC and Thijssen, DHJ ORCID: 0000-0002-7707-5567 (2026) The Future of Cardiac Care: A Review on the Role for Non-Invasive, Home-Based Monitoring and Rehabilitation after Hospitalisation for Acute Decompensated Heart Failure. Current Heart Failure Reports, 23 (1). ISSN 1546-9530

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Abstract

Purpose of Review: Heart failure (HF) is characterised by recurrent decompensation leading to worsening of symptoms and unplanned hospitalisations. Patients often experience poor post-hospitalisation recovery, fail to maintain functional capacity, and demonstrate a high risk for re-admission. In this review we discuss these challenges, and explore how non-invasive, digital solutions may improve health outcomes. Recent Findings: In contrast to current episodic surveillance, advances in wearable sensor technologies enable continuous, non-invasive monitoring to facilitate physiology-guided management to improve early clinical stabilisation. Additionally, trials have highlighted the potential of exercise-based cardiac rehabilitation to improve functional capacity in HF patients. Finally, continuous monitoring of relevant physiological signals, through developing algorithms, have the potential for early prediction of clinical deterioration. Summary: Non-invasive, co-created digital solutions may facilitate early stabilisation, improve functional capacity and predict clinical deterioration following episodes of decompensation. Collectively, they may enhance clinical outcomes and quality of life in patients with HF.

Item Type:	Article
Uncontrolled Keywords:	Heart failure; Remote patient monitoring; Cardiac rehabilitation; Telemedicine; Cardiac rehabilitation; Heart failure; Remote patient monitoring; Telemedicine; Humans; Heart Failure; Remote Patient Monitoring; Hospitalization; Cardiac Rehabilitation; Digital Health; Quality of Life; Acute Disease; Telemedicine; 32 Biomedical and Clinical Sciences; 3202 Clinical Sciences; Rehabilitation; Clinical Research; Heart Disease; Bioengineering; Cardiovascular; Physical Activity; Clinical Trials and Supportive Activities; Health Services; Physical Rehabilitation; 4.2 Evaluation of markers and technologies; Generic health relevance; Cardiovascular; 3 Good Health and Well Being; Humans; Heart Failure; Remote Patient Monitoring; Hospitalization; Cardiac Rehabilitation; Digital Health; Quality of Life; Acute Disease; Telemedicine; 1102 Cardiorespiratory Medicine and Haematology; 1103 Clinical Sciences; Cardiovascular System & Hematology; 3201 Cardiovascular medicine and haematology
Subjects:	R Medicine > RC Internal medicine T Technology > T Technology (General)
Divisions:	Sport and Exercise Sciences
Publisher:	Springer
Date of acceptance:	24 September 2026
Date of first compliant Open Access:	5 November 2026
Date Deposited:	05 Nov 2026 13:30
Last Modified:	05 Nov 2026 13:30
DOI or ID number:	10.1007/s11897-026-00778-5
URI:	https://researchonline.ljmu.ac.uk/id/eprint/29831

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