Remote monitoring and chronic care management for cardiology practices
Heart failure, hypertension and atrial fibrillation change between visits. Our care team reviews home readings every day, checks in with patients every week and sends you a clear note when something needs a cardiologist.
Evidence for remote heart failure management
Between office visits is where my heart failure and hypertension patients get into trouble. VitalityMed's team checks in with them every week and reviews their home readings every day. When something needs my attention, I get a clear note I can act on, not another alert to chase down. My patients feel looked after, and my staff hasn't taken on extra work.
What we watch for in cardiology patients
Devices capture the physiology; weekly calls capture what devices can't, from new ankle swelling to a missed diuretic dose. Everything is reviewed against the thresholds you set.
Heart failure
Daily weight and blood pressure, weekly questions on breathlessness, orthopnea and edema, and early escalation on weight gain according to your thresholds.
Hypertension
Readings from a clinically validated cuff, trend review against your targets, and adherence and side-effect checks.
Atrial fibrillation
Heart rate and irregular-heartbeat indications from the blood pressure monitor are reviewed and routed; anticoagulant adherence is reinforced on every call.
Coronary disease and after procedures
Blood pressure, symptoms and medication adherence, including antiplatelet and statin therapy, plus follow-through on cardiac rehab referrals.
Hyperlipidemia
Statin adherence, side-effect questions and reminders for the follow-up you've ordered.
Remote management in heart failure is well studied
Heart failure has the deepest evidence base for remote monitoring, from Cochrane meta-analyses to large randomized trials.
Published results reflect specific program designs and patient populations. Outcomes for any program depend on patient selection, engagement and how escalations are acted on.
Cochrane review of 41 studies
Non-invasive home telemonitoring reduced all-cause mortality (RR 0.80) and heart failure hospitalizations (RR 0.71). Structured telephone support also reduced mortality (RR 0.87) and heart failure hospitalizations (RR 0.85).1
TIM-HF2 randomized trial
Among 1,538 patients, remote management cut days lost to unplanned cardiovascular admission or death from 24.2 to 17.8 per year, with lower all-cause mortality (HR 0.70). The trial used a physician-staffed telemedical center available around the clock, a more intensive model than a typical monitoring program.2
Home blood pressure telemonitoring
Home telemonitoring with case management lowered systolic blood pressure 9.7 mmHg more than usual care at 12 months.3
Diagnoses commonly referred from cardiology
Most cardiology referrals combine a cardiac diagnosis with hypertension, diabetes or hyperlipidemia.
| Condition | ICD-10-CM |
|---|---|
| Essential hypertension | I10 |
| Hypertensive heart disease with heart failure | I11.0 |
| Hypertensive heart disease without heart failure | I11.9 |
| Chronic systolic heart failure | I50.22 |
| Chronic diastolic heart failure | I50.32 |
| Heart failure, unspecified | I50.9 |
| Atherosclerotic heart disease without angina | I25.10 |
| Paroxysmal atrial fibrillation | I48.0 |
| Chronic atrial fibrillation, unspecified | I48.20 |
| Peripheral vascular disease | I73.9 |
| Presence of coronary bypass graft | Z95.1 |
| Hyperlipidemia, unspecified | E78.5 |
| Type 2 diabetes without complications | E11.9 |
Questions from cardiology practices
Can we set our own escalation thresholds?
Yes. Blood pressure, heart rate and weight-gain thresholds follow your protocols, and you can set them by patient.
What happens when a heart failure patient gains weight?
The care team contacts the patient, confirms the reading, asks about symptoms and medications, and sends your team an escalation note according to your protocol.
Is this continuous monitoring?
No. Patients take readings at home and they're reviewed by nurses every day; they are not watched live. Patients are told to call 911 in an emergency.
Let's talk about your patients.
A short conversation is usually enough to see whether VitalityMed is the right fit for your practice.
- We review your specialty, your patients and what you want to improve.
- You see a sample monthly summary before you commit.
- Getting started takes one onboarding call and your clinical protocols.
Patients and families can call the same number.
Request a conversation
We'll reply by phone or email. Please don't include patient health information.
References
- Inglis SC, Clark RA, Dierckx R, Prieto-Merino D, Cleland JGF. Structured telephone support or non-invasive telemonitoring for patients with heart failure. Cochrane Database Syst Rev. 2015;(10):CD007228. pubmed.ncbi.nlm.nih.gov
- Koehler F, Koehler K, Deckwart O, et al. Efficacy of telemedical interventional management in patients with heart failure (TIM-HF2): a randomised, controlled, parallel-group, unmasked trial. Lancet. 2018;392:1047-57. www.thelancet.com
- Margolis KL, Asche SE, Bergdall AR, et al. Effect of home blood pressure telemonitoring and pharmacist management on blood pressure control: a cluster randomized clinical trial. JAMA. 2013;310(1):46-56. pubmed.ncbi.nlm.nih.gov
- Centers for Disease Control and Prevention. High blood pressure facts. www.cdc.gov
Page last reviewed 2026-09. This page is for health care professionals and is not medical advice.