Objective Evaluation of Hemodynamics in the Outpatient Setting

  • Gbolahan Ogunbayo
  • Ahmed Abdel-LatifEmail author
Part of the Contemporary Cardiology book series (CONCARD)


Hospital readmissions are associated with significant morbidity and mortality among patients with heart failure and other cardiovascular diseases. Hospital readmissions are also a performance metric for healthcare insurers. In patients at risk of multiple readmissions, outpatient hemodynamic monitoring becomes imperative to prevent these readmissions. Outpatient assessment of cardiovascular hemodynamics provides a way to monitor patients in the ambulatory/outpatient setting or remotely. This modality reduces cost and gives clinicians an opportunity to be proactive about changes in a patient’s volume status before the development of clinical symptoms and hospital readmission. Advances in these ambulatory/outpatient and remote monitoring options will improve care, decrease readmissions, and reduce direct and indirect costs to the healthcare system. This chapter describes the various remote or ambulatory/outpatient options for hemodynamic monitoring as well as how they work and the advantages and disadvantages of each one.


Ambulatory Outpatient Remote monitoring Noninvasive hemodynamic assessment Echocardiography Intracardiac impedance Plethysmography Bioreactance 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Gill Heart Institute and Division of Cardiovascular MedicineUniversity of KentuckyLexingtonUSA
  2. 2.VA Medical CenterLexingtonUSA
  3. 3.Saha Cardiovascular Research CenterUniversity of KentuckyLexingtonUSA

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