![]() ![]() 1 With increasing implementation and experience in remote patient monitoring (RPM), challenges have become more apparent when addressing the needs of vulnerable populations such as women and African-Americans. This transformation includes a rapid transition to a virtual physician–patient encounter environment (telehealth) and an increasing investment in remote patient monitoring technology. Consequently, the pandemic has dramatically shifted the approach to patient care on multiple levels. The recent COVID-19 pandemic has highlighted the need for more timely, dependable and remote access to medical care. This review describes the uptake of remote haemodynamic monitoring, CIEDs and telehealth in female patients and black patients with HF, and discusses aetiologies that may contribute to inequities and strategies to promote health equity. Notwithstanding addressing the above factors, RPM has the unique potential to reduce disparities through a combination of implicit bias mitigation and earlier detection and intervention for HF disease progression in disadvantaged groups. The sex- and race-based disparities are multifactorial: stringent clinical trial inclusion criteria, distrust of the medical establishment, poor access to healthcare, socioeconomic inequities, and lack of diversity in clinical trial leadership. Of the demographic groups, female patients and black patients are under-enrolled relative to disease distribution in clinical trials and are under-referred for RPM, including remote haemodynamic monitoring, cardiac implantable electronic devices (CIEDs), wearables and telehealth interventions. Remote patient monitoring (RPM), within the larger context of telehealth expansion, has been established as an effective and safe means of care for patients with heart failure (HF) during the recent pandemic. ![]()
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