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.com
Volume 9
Journal of Clinical & Experimental Cardiology
ISSN: 2155-9880
October 22-24, 2018 | Rome, Italy
27
th
European Cardiology Conference
Euro Cardiology 2018
October 22-24, 2018
Specialist directed remote heart management in the post-acute facility setting improves medication
management and clinical outcomes
Kevin A Courville
Prevail Heart Clinics, USA
A
lthough much time and resources are devoted to improving re-admission strategies for congestive heart failure in the
outpatient setting, there is a paucity of effort directed towards post-acute facilities such as nursing homes and assisted
living facilities. The vast majority of management of chronic cardiovascular diseases in this setting is performed by primary care
physicians, nurse practitioners and physician assistants with little or no specialty involvement. The result is variable medication
management with a high admission and re-admission rate of patients with chronic cardiovascular disease. Given the looming
shortage of cardiovascular specialists in the United States, alternatives strategies to specialty care in this setting are needed.
We observed the use of Pulsario remote heart management system in this setting. This system enables real time specialty care
to be delivered without the physical presence of the cardiovascular specialist. Within the first 30 days of system deployment,
there was an improvement in guideline directed medical therapy specific to a patient’s underlying medical condition by 92.3%,
the management of hypertension to goal was improved by 77.8% and 13.6% of patients avoided hospitalization. These results
reveal the rapid improvements in medical therapy, reduction in hospitalization and feasibility of specialty care delivery by
Pulsario remote heart management system within the post-acute care facility.
Biography
Kevin A Courville, MD is a Fellow of the Heart Failure Society of America (FHFSA), Fellow of the American College of Cardiology (FACC) and Alpha Omega Alpha
Honor Medical Society. He received his cardiology training at Ochsner Heart and Vascular Institute in New Orleans, Louisiana (USA). He has been recognized
as one of the top cardiologists in America for several years and dedicates his clinical, research and development efforts into the outpatient management of heart
failure and chronic cardiovascular diseases.
Kevin A Courville, J Clin Exp Cardiolog 2018, Volume 9
DOI: 10.4172/2155-9880-C10-116