A pilot randomised control trial comparing telephonic message based follow up versus standard care in patients discharged after hospital admission for acute heart failure in general medical wards.

Heart failure is one of the major causes of mortality in India. The acute cardiac conditions are mostly related to ischemia, arrhythmia, infections. The heart failure is prone for acute decompensation by any of the above inciting event and worsening the patient condition and requiring readmissions often with high risk of major adverse cardiovascular event. There are multiple studies done worldwide documenting the initial 90 days post discharge is the vulnerable period for such readmissions. Among the various causes of readmission, non compliance to drugs ,life style changes contribute the majority of cases. various studies has shown intervening by medical team at this vulnerable period causes reduction in readmissions -one such intervention is the telephonic based follow up with health guidance and monitoring after discharge. In this study. the population will be randomized  into 2 arms at discharge after acute heart failure. The control arm receiving standard care while intervention arm will receive telehealth services in the form of 6 messages each a week for 6 weeks post discharge and a call by principal investigator at 6th week along with standard of care .The intervention is aimed at improving patients adherence to drugs, diet advice, lifetsyle modifications needed thereby anticipating the prolonging the time of occurrence of major adverse cardiovascular events in the vulnerable 90 days post discharge.