Clinical insight of remote dielectric sensing-guided congestive heart failure management in outpatient clinic

Management of congestion by assessing the degree of systemic/pulmonary congestion and adjusting the dose of diuretics is of great importance to improve mortality and morbidity in patients with congestive heart failure, whereas it is sometimes challenging particularly in the outpatient clinic, where careful and daily assessment of congestion is impossible. We had a patient with congestive heart failure due to cardiac amyloidosis, whose congestion was successfully managed by referencing repeated non-invasive quantification of pulmonary congestion using a recently-introduced remote dielectric sensing system as well as appropriate adjustment of diuretics doses at once per month outpatient clinic. Remote dielectric sensing might be a promising supportive tool to guide the management of congestion in the outpatient clinic. Learning objective: Remote dielectric sensing system, which is a novel non-invasive wearable device to quantify the degree of pulmonary congestion easily and quickly within a minute, would be a promising supportive tool to guide titration of the dose of diuretics in patients with congestive heart failure in outpatient clinic follow up.