{"id":44559,"date":"2014-08-14T06:09:11","date_gmt":"2014-08-14T10:09:11","guid":{"rendered":"http:\/\/blogs.nejm.org\/cardioexchange\/?post_type=voices&p=44559"},"modified":"2014-08-14T06:09:11","modified_gmt":"2014-08-14T10:09:11","slug":"the-cardiomems-device-what-do-you-say-to-your-patients","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/cardioexchange\/2014\/08\/14\/the-cardiomems-device-what-do-you-say-to-your-patients\/","title":{"rendered":"The CardioMEMS HF System: What Do You Say to Your Patient?"},"content":{"rendered":"

This post is the fourth in our series \u201cWhat Do You Say to Your Patient?\u201d<\/a> In this series, we ask members to share with us how they interpret a complex or controversial issue for patients. To review earlier posts, click here<\/a>.<\/em><\/p>\n

The following scenario stems from the recent FDA approval<\/a> of the CardioMEMS HF System.<\/i><\/p>\n

\"CardioMEMS<\/a>

The CardioMEMS HF System<\/p><\/div>\n

Your 45-year-old male patient with a five-year history of systolic heart failure (HF) comes in for follow up.<\/p>\n

When you first began seeing him three years ago he required three hospitalizations for HF exacerbations within the first year. He has been stable on beta-blockers, ACE inhibitors, spironolactone, and lasix treatment for the past two years and has not needed hospitalization for more than 18 months.<\/p>\n

Your patient has a CRT-D in place and his LVEF is 40% and stable (previously 30%). He has heard of the new CardioMEMS device and is wondering if he should get one placed.<\/p>\n

What do you tell him?<\/strong><\/em><\/p>\n

How do you discuss the risks and benefits with him?<\/strong><\/em><\/p>\n

Who do you tell him will be following the data the device produces? Will you? Will you assign it to a nurse practitioner?<\/strong><\/em><\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

In this scenario based on a patient’s question about the CardioMEMS device, John Ryan asks, “What do you say to your patient?”<\/p>\n","protected":false},"author":280,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14],"tags":[1052,287],"class_list":["post-44559","post","type-post","status-publish","format-standard","hentry","category-heart-failure","tag-cardiomems","tag-heart-failure-2"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/44559","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/users\/280"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/comments?post=44559"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/44559\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/media?parent=44559"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/categories?post=44559"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/tags?post=44559"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}