FIGURE 1.

Report of automatic diagnostics available for review through the LATITUDE remote monitoring platform. It includes the HeartLogic index and the contributing sensors: accelerometer‐based first and third heart sounds, intrathoracic impedance, respiration rate, night heart rate, and patient activity. In this example, a 67‐years‐old man with dilated cardiomyopathy, left bundle branch block, left ventricular ejection fraction 31%, NYHA Class II, underwent implantation of Resonate X4 CRT‐D. After implantation, the patient was fine and the index remained under the threshold until January 8, 2019, when a HeartLogic index was notified to the center (blue bar). The nurse responsible for remote monitoring contacted the patient who did not report worsening HF symptoms. After 1 week, the alert state was persisting. The nurse contacted again the patient who continued to report no symptoms, but he referred that he had discontinued diuretic therapy at the end of December (red bar). After consulting with the doctor, the nurse suggested the patient to restore diuretic therapy (green bar). The HeartLogic index decreased to below the recovery threshold value of 6 on January 29th