SCALE-HF 1: A Congestion Alert Approach to Home Monitoring

ABSTRACT:

Study at a glance

  • Publication type: Multicentre prospective observational study
  • What it examined: SCALE-HF 1 examined a non-invasive congestion index derived from a cardiac scale, designed to alert to fluid accumulation before worsening heart failure events.
  • Key point: Participants took a daily approximately 20-second barefoot measurement at home. The study evaluated prediction and management of heart failure events in an observational design.

Why it matters

A promising monitoring signal still needs to be assessed within a complete clinical workflow: who receives alerts, how quickly they act and whether outcomes improve.

Source

Fudim M, et al. Surveillance and Alert-based Multiparameter Monitoring to Reduce Worsening Heart Failure Events: Results From SCALE-HF 1. J Card Fail. 2025;31:661-675. PMID: 39299540. View the PubMed record.

This educational summary is based on the cited publication and is not medical advice. Clinical decisions should be made with an appropriately qualified healthcare professional.