Heart failure: A guide for digital weight measurement

Description

Digitally-connected scale to monitor patients’ weights.

Clinical Indication

• Heart failure with reduced or preserved ejection fraction
• History of fluid overload
• Desired weight loss
• New exercise regimen
• Athletes

Evidence Base

• Remotely managed patients recently hospitalized for heart failure had fewer unplanned cardiovascular hospitalizations and days in the hospital, lower rates of all-cause and cardiovascular mortality, and improved quality of life compared to patients with usual care only. Prescher S, Koehler K, Koehler F. e-Health in cardiology: remote patient management of heart failure patients. e-Journal of Cardiology Practice. 2020;18(26).
• The randomized, multicenter “Telemedical Interventional Management in Heart Failure II (TIM-HF2)” trial showed for the first time a significant improvement in all-cause mortality based on non-invasive remote management. Telemedicine patients had to spend fewer days in the hospital due to unplanned cardiovascular admissions - on average, 3.8 days compared to 5.6 days in the usual care group. In terms of all-cause mortality, out of 100 heart failure patients in the year of care, only eight patients of the remote management group (7.8 per 100 patient-years) died, while eleven patients died under the usual medical care conditions (11.3 per 100 patient-years). Koehler F, Koehler K, Deckwart O, Prescher S, Wegscheider K, Kirwan BA, Winkler S, Vettorazzi E, Bruch L, Oeff M, Zugck C, Doerr G, Naegele H, Stork S, Butter C, Sechtem U, Angermann C, Gola G, Prondzinsky R, Edelmann F, Spethmann S, Schellong SM, Schulze PC, Bauersachs J, Wellge B, Schoebel C, Tajsic M, Dreger H, Anker SD, Stangl K. Efficacy of telemedical interventional management in patients with heart failure (TIM-HF2): a randomised, controlled, parallel-group, unmasked trial. Lancet. 2018;392:1047-57. 

Quality Control

Has not been evaluated by the FDA.

Technical Aspects/Integration

Bluetooth-enabled with vendor app. Weight capacity 450 lbs.

Procurement/Cost

$89.99; can be purchased from Amazon or vendor site.

Clinical Lead

Monique Tanna

Entry Author and Date

Description

Digitally-connected scale to monitor patients’ weights.

Clinical Indication

• Heart failure with reduced or preserved ejection fraction
• History of fluid overload
• Desired weight loss
• New exercise regimen
• Athletes

Evidence Base

• Remotely managed patients recently hospitalized for heart failure had fewer unplanned cardiovascular hospitalizations and days in the hospital, lower rates of all-cause and cardiovascular mortality, and improved quality of life compared to patients with usual care only. Prescher S, Koehler K, Koehler F. e-Health in cardiology: remote patient management of heart failure patients. e-Journal of Cardiology Practice. 2020;18(26).
• The randomized, multicenter “Telemedical Interventional Management in Heart Failure II (TIM-HF2)” trial showed for the first time a significant improvement in all-cause mortality based on non-invasive remote management. Telemedicine patients had to spend fewer days in the hospital due to unplanned cardiovascular admissions - on average, 3.8 days compared to 5.6 days in the usual care group. In terms of all-cause mortality, out of 100 heart failure patients in the year of care, only eight patients of the remote management group (7.8 per 100 patient-years) died, while eleven patients died under the usual medical care conditions (11.3 per 100 patient-years). Koehler F, Koehler K, Deckwart O, Prescher S, Wegscheider K, Kirwan BA, Winkler S, Vettorazzi E, Bruch L, Oeff M, Zugck C, Doerr G, Naegele H, Stork S, Butter C, Sechtem U, Angermann C, Gola G, Prondzinsky R, Edelmann F, Spethmann S, Schellong SM, Schulze PC, Bauersachs J, Wellge B, Schoebel C, Tajsic M, Dreger H, Anker SD, Stangl K. Efficacy of telemedical interventional management in patients with heart failure (TIM-HF2): a randomised, controlled, parallel-group, unmasked trial. Lancet. 2018;392:1047-57. 

Quality Control

FDA-approved.

Technical Aspects/Integration

Bluetooth-enabled with vendor app. Compatible with wearable Fitbit fitness tracker. Weight capacity 400 lbs.

Procurement/Cost

$39.95-49.95; can be purchased from Amazon or vendor site.

Clinical Lead

Monique Tanna

Entry Author and Date

Description

Digitally-connected scale to monitor patients’ weights.

Clinical Indication

• Heart failure with reduced or preserved ejection fraction
• History of fluid overload
• Desired weight loss
• New exercise regimen
• Athletes

Evidence Base

• Remotely managed patients recently hospitalized for heart failure had fewer unplanned cardiovascular hospitalizations and days in the hospital, lower rates of all-cause and cardiovascular mortality, and improved quality of life compared to patients with usual care only. Prescher S, Koehler K, Koehler F. e-Health in cardiology: remote patient management of heart failure patients. e-Journal of Cardiology Practice. 2020;18(26).
• The randomized, multicenter “Telemedical Interventional Management in Heart Failure II (TIM-HF2)” trial showed for the first time a significant improvement in all-cause mortality based on non-invasive remote management. Telemedicine patients had to spend fewer days in the hospital due to unplanned cardiovascular admissions - on average, 3.8 days compared to 5.6 days in the usual care group. In terms of all-cause mortality, out of 100 heart failure patients in the year of care, only eight patients of the remote management group (7.8 per 100 patient-years) died, while eleven patients died under the usual medical care conditions (11.3 per 100 patient-years). Koehler F, Koehler K, Deckwart O, Prescher S, Wegscheider K, Kirwan BA, Winkler S, Vettorazzi E, Bruch L, Oeff M, Zugck C, Doerr G, Naegele H, Stork S, Butter C, Sechtem U, Angermann C, Gola G, Prondzinsky R, Edelmann F, Spethmann S, Schellong SM, Schulze PC, Bauersachs J, Wellge B, Schoebel C, Tajsic M, Dreger H, Anker SD, Stangl K. Efficacy of telemedical interventional management in patients with heart failure (TIM-HF2): a randomised, controlled, parallel-group, unmasked trial. Lancet. 2018;392:1047-57. 

Quality Control

Has not been evaluated by the FDA.

Technical Aspects/Integration

Bluetooth-enabled with vendor app. Weight capacity 440 lbs.

Procurement/Cost

Under review.

Clinical Lead

Monique Tanna

Entry Author and Date

Description

Digitally-connected scale to monitor patients’ weights.

Clinical Indication

• Heart failure with reduced or preserved ejection fraction
• History of fluid overload
• Desired weight loss
• New exercise regimen
• Athletes

Evidence Base

• Remotely managed patients recently hospitalized for heart failure had fewer unplanned cardiovascular hospitalizations and days in the hospital, lower rates of all-cause and cardiovascular mortality, and improved quality of life compared to patients with usual care only. Prescher S, Koehler K, Koehler F. e-Health in cardiology: remote patient management of heart failure patients. e-Journal of Cardiology Practice. 2020;18(26).
• The randomized, multicenter “Telemedical Interventional Management in Heart Failure II (TIM-HF2)” trial showed for the first time a significant improvement in all-cause mortality based on non-invasive remote management. Telemedicine patients had to spend fewer days in the hospital due to unplanned cardiovascular admissions - on average, 3.8 days compared to 5.6 days in the usual care group. In terms of all-cause mortality, out of 100 heart failure patients in the year of care, only eight patients of the remote management group (7.8 per 100 patient-years) died, while eleven patients died under the usual medical care conditions (11.3 per 100 patient-years). Koehler F, Koehler K, Deckwart O, Prescher S, Wegscheider K, Kirwan BA, Winkler S, Vettorazzi E, Bruch L, Oeff M, Zugck C, Doerr G, Naegele H, Stork S, Butter C, Sechtem U, Angermann C, Gola G, Prondzinsky R, Edelmann F, Spethmann S, Schellong SM, Schulze PC, Bauersachs J, Wellge B, Schoebel C, Tajsic M, Dreger H, Anker SD, Stangl K. Efficacy of telemedical interventional management in patients with heart failure (TIM-HF2): a randomised, controlled, parallel-group, unmasked trial. Lancet. 2018;392:1047-57. 

Quality Control

Has not been evaluated by the FDA.

Technical Aspects/Integration

Bluetooth-enabled with vendor app. Also WiFi-enabled. In addition to weight, the scale screen displays a trend of last 8 weigh-ins and automatically calculates BMI. Weight capacity 396 lbs.

Procurement/Cost

$49.95-59.95; can be purchased from Amazon or vendor site.

Clinical Lead

Monique Tanna

Entry Author and Date

Description

Digitally-connected scale to monitor patients’ weights and perform body composition analysis.

Clinical Indication

• Heart failure with reduced or preserved ejection fraction
• History of fluid overload
• Desired weight loss
• New exercise regimen
• Athletes

Evidence Base

Have not been independently studied.

Quality Control

Not evaluated by the FDA.

Technical Aspects/Integration

Syncs to Arboleaf app via Bluetooth, which can then sync to Apple Health, Google Health and Fitbit apps. Weight capacity 400 lbs.

Procurement/Cost

$29.99; can be purchased on Amazon.

Clinical Lead

Monique Tanna

Entry Author and Date

Description

Digitally-connected scale to monitor patients’ weights and perform body composition analysis.

Clinical Indication

• Heart failure with reduced or preserved ejection fraction
• History of fluid overload
• Desired weight loss
• New exercise regimen
• Athletes

Evidence Base

Have not been independently studied.

Quality Control

FDA-approved.

Technical Aspects/Integration

Syncs via Bluetooth 4.0 with free VeSync app, which then syncs data with Apple Health, Google Fit, Fitbit, and Samsung health. Weight capacity 400 lbs.

Procurement/Cost

$22.99-33.99; can be purchased on Amazon or vendor site.

Clinical Lead

Monique Tanna

Entry Author and Date

Description

Digitally-connected scale to monitor patients’ weights and perform body composition analysis.

Clinical Indication

• Heart failure with reduced or preserved ejection fraction
• History of fluid overload
• Desired weight loss
• New exercise regimen
• Athletes

Evidence Base

Have not been independently studied.

Quality Control

Not evaluated by the FDA.

Technical Aspects/Integration

Syncs to EufyLife app via Bluetooth, which then syncs with Apple Health and Google Fit. Weight capacity 397 lbs.

Procurement/Cost

$44.99; can be purchased on vendor site.

Clinical Lead

Monique Tanna

Entry Author and Date

Description

Digitally-connected scale to monitor patients’ weights and perform body composition analysis.

Clinical Indication

• Heart failure with reduced or preserved ejection fraction
• History of fluid overload
• Desired weight loss
• New exercise regimen
• Athletes

Evidence Base

Have not been independently studied.

Quality Control

FDA-approved.

Technical Aspects/Integration

Syncs via WiFi to Fitbit app on 200+ iOS, Android, and Windows devices as well as Fitbit watches and trackers. Weight capacity 400 lbs.

Procurement/Cost

$322.99; can be purchased on Amazon or vendor site and at Best Buy or Walmart.

Clinical Lead

Monique Tanna

Entry Author and Date

Description

Digitally-connected scale to monitor patients’ weights and perform body composition analysis.

Clinical Indication

• Heart failure with reduced or preserved ejection fraction
• History of fluid overload
• Desired weight loss
• New exercise regimen
• Athletes

Evidence Base

Have not been independently studied.

Quality Control

Not evaluated by the FDA.

Technical Aspects/Integration

Syncs with FITINDEX app via Bluetooth, which can then sync data to Apple Health, Google Fit, Samsung Health, or Fitbit app. Weight capacity 396 lbs.

Procurement/Cost

$26.99-28.99; can be purchased on Amazon or vendor site.

Clinical Lead

Monique Tanna

Entry Author and Date

Description

Digitally-connected scale to monitor patients’ weights and perform body composition analysis.

Clinical Indication

• Heart failure with reduced or preserved ejection fraction
• History of fluid overload
• Desired weight loss
• New exercise regimen
• Athletes

Evidence Base

Have not been independently studied.

Quality Control

FDA-approved.

Technical Aspects/Integration

Syncs to FitTrack Pro App via Bluetooth, which can then sync to other health apps including Apple Health and Google Health. Weight capacity 400 lbs.

Procurement/Cost

$89.95; can be purchased on Amazon or vendor site.

Clinical Lead

Monique Tanna

Entry Author and Date

Description

Digitally-connected scale to monitor patients’ weights and perform body composition analysis.

Clinical Indication

• Heart failure with reduced or preserved ejection fraction
• History of fluid overload
• Desired weight loss
• New exercise regimen
• Athletes

Evidence Base

Have not been independently studied.

Quality Control

Not evaluated by the FDA.

Technical Aspects/Integration

Syncs to Garmin Connect or MyFitnessPal apps via WiFi with these compatible devices. Weight capacity 400 lbs.

Procurement/Cost

$149.99-189.99; can be purchased on Amazon or vendor site.

Clinical Lead

Monique Tanna

Entry Author and Date

Description

Digitally-connected scale to monitor patients’ weights and perform body composition analysis.

Clinical Indication

• Heart failure with reduced or preserved ejection fraction
• History of fluid overload
• Desired weight loss
• New exercise regimen
• Athletes

Evidence Base

Have not been independently studied.

Quality Control

Not evaluated by the FDA.

Technical Aspects/Integration

Syncs to Greater Goods app via Bluetooth, which can then sync data to Fitbit, Google Fit, Apple Health, MyFitness Pal, and other apps. Weight capacity 400 lbs.

Procurement/Cost

$25.95-54.95; can be purchased on Amazon.

Clinical Lead

Monique Tanna

Entry Author and Date

Description

Digitally-connected scale to monitor patients’ weights and perform body composition analysis.

Clinical Indication

• Heart failure with reduced or preserved ejection fraction
• History of fluid overload
• Desired weight loss
• New exercise regimen
• Athletes

Evidence Base

Have not been independently studied.

Quality Control

FDA 510(k) pre-market notification.

Technical Aspects/Integration

Syncs via Bluetooth to OMRON HeartAdvisor on iOS or Android devices and the OMRON Health skill for Amazon Alexa-enabled devices. Weight capacity 330 lbs.

Procurement/Cost

$49.99-70.00; can be purchased on Amazon or vendor site.

Clinical Lead

Monique Tanna

Entry Author and Date

Description

Digitally-connected scale to monitor patients’ weights and perform body composition analysis.

Clinical Indication

• Heart failure with reduced or preserved ejection fraction
• History of fluid overload
• Desired weight loss
• New exercise regimen
• Athletes

Evidence Base

Have not been independently studied.

Quality Control

Not evaluated by the FDA.

Technical Aspects/Integration

Syncs with Qardio app via Bluetooth 4.0 or WiFi, which can be used on iOS, Android, and Kindle devices. Syncs with Apple Health and Google Fit. Haptic feedback allows those with visual impairment to know when measurement has been taken. Has “pregnancy mode” for expecting mothers to track weekly progress and add pictures to their numbers. Weight capacity 396 lbs.

Procurement/Cost

$149.99; can be purchased on vendor site.

Clinical Lead

Monique Tanna

Entry Author and Date

Description

Digitally-connected scale to monitor patients’ weights and perform body composition analysis.

Clinical Indication

• Heart failure with reduced or preserved ejection fraction
• History of fluid overload
• Desired weight loss
• New exercise regimen
• Athletes

Evidence Base

Have not been independently studied.

Quality Control

FDA-approved.

Technical Aspects/Integration

Syncs with Renpho app via Bluetooth 4.0. Premium model also connects to WiFi. Weight capacity 396 lbs.

Procurement/Cost

$29.99-45.99; can be purchased at Walmart, on Amazon, or on vendor site.

Clinical Lead

Monique Tanna

Entry Author and Date

Description

Digitally-connected scale to monitor patients’ weights and perform body composition analysis.

Clinical Indication

• Heart failure with reduced or preserved ejection fraction
• History of fluid overload
• Desired weight loss
• New exercise regimen
• Athletes

Evidence Base

Have not been independently studied.

Quality Control

FDA-approved.

Technical Aspects/Integration

Syncs to Rolli-fit app on iOS and Android devices, which then syncs to Fitbit and Google Fit. Weight capacity 400 lbs.

Procurement/Cost

$24.99-69.99; can be purchased on Amazon or vendor site.

Clinical Lead

Monique Tanna

Entry Author and Date

Description

Digitally-connected scale to monitor patients’ weights and perform body composition analysis.

Clinical Indication

• Heart failure with reduced or preserved ejection fraction
• History of fluid overload
• Desired weight loss
• New exercise regimen
• Athletes

Evidence Base

Have not been independently studied.

Quality Control

Not evaluated by the FDA.

Technical Aspects/Integration

Syncs to Tenswall app on iOS and Android devices. Weight capacity 400 lbs.

Procurement/Cost

$19.88-39.99; can be purchased on Amazon or vendor site.

Clinical Lead

Monique Tanna

Entry Author and Date

Description

Digitally-connected scale to monitor patients’ weights and perform body composition analysis.

Clinical Indication

• Heart failure with reduced or preserved ejection fraction
• History of fluid overload
• Desired weight loss
• New exercise regimen
• Athletes

Evidence Base

Have not been independently studied.

Quality Control

FDA 510(k) pre-market notification.

Technical Aspects/Integration

Syncs to Withings Health Mate app automatically via WiFi or Bluetooth. Allows users to track nutrition by setting a weight goal and daily calorie budgets. Has “pregnancy mode” for expecting mothers to track weekly progress. Weight capacity 396 lbs.

Procurement/Cost

$79.96-99.95; can be purchased on vendor site, Amazon, or at Apple, Bed Bath & Beyond, or Best Buy.

Clinical Lead

Monique Tanna

Entry Author and Date

Description

Digitally-connected scale to monitor patients’ weights and perform body composition analysis.

Clinical Indication

• Heart failure with reduced or preserved ejection fraction
• History of fluid overload
• Desired weight loss
• New exercise regimen
• Athletes

Evidence Base

Have not been independently studied.

Quality Control

Not evaluated by the FDA.

Technical Aspects/Integration

Syncs to Withings Health Mate app automatically via WiFi or Bluetooth. Also measures heart rate. Has “pregnancy mode” for expecting mothers to track weekly progress, and “athlete mode” for athletes to measure their progress. Weight capacity 396 lbs.

Procurement/Cost

$119.96-149.95; can be purchased on vendor site, Amazon, or at Bed Bath & Beyond.

Clinical Lead

Monique Tanna

Entry Author and Date

Description

Digitally-connected scale to monitor patients’ weights and perform body composition analysis.

Clinical Indication

• Heart failure with reduced or preserved ejection fraction
• History of fluid overload
• Desired weight loss
• New exercise regimen
• Athletes

Evidence Base

Have not been independently studied.

Quality Control

Not evaluated by the FDA.

Technical Aspects/Integration

Also measures heart rate. Syncs to Wyze app via Bluetooth, which can then sync to Apple Health and Fitbit apps. Weight capacity 400 lbs.

Procurement/Cost

$19.99-28.98; can be purchased on Amazon or vendor site.

Clinical Lead

Monique Tanna

Entry Author and Date