Date of Award
5-2021
Document Type
Scholarly Project
Degree Name
Master of Physician Assistant Studies (MPAS)
Department
Physician Assistant Studies
First Advisor
Julie Solberg
Keywords
CardioMEMS; Heart failure; Traditional management; Pulmonary artery pressure monitoring; Hospital admissions; Cost effectiveness; Symptom management; Natriuretic peptides
Recommended Citation
Jacobs, Quinn, "Comparison of CardioMEMS and Traditional Medical Management in Reducing Readmissions in Heart Failure Patients" (2021). Physician Assistant Scholarly Project Papers. 88.
https://commons.und.edu/pas-grad-papers/88
Comments
The purpose of this research and literature review is to compare the efficacy of traditional medical management of heart failure patients to management using the implantable CardioMEMS device. The cost-effectiveness of the CardioMEMS device was also evaluated. For the literature review, the data bases of Cochrane, PubMed, Clinical Key, and DynaMed Plus were utilized. Because the CardioMEMS device is relatively new and has not gained widespread use among heart failure patients, there is limited data available in regards to research completed on patients with the implantable device. The time frame of search results related to CardioMEMS was extended to 10 years to include the original clinical trials and research for the device. After a thorough review of the available research, it was concluded that the CardioMEMS device is an effective method for monitoring pulmonary artery pressures as well as for preventing hospital admissions. The research data has also proven the device to be cost-effective as well. However, the device may not be appropriate or cost effective for patients with end stage heart failure or limited life expectancy. Overall, additional longitudinal studies related to the efficacy of the CardioMEMS device would be beneficial.