ACC 25 - Findings of the MIGHTy-Heart study shows no difference between mobile integrated healthcare and a traditional transitions of care coordinator approach in 30-day all-cause readmissions or health status.

Dr Ruth Masterson Creber (Columbia University, New York, US) joins us onsite at ACC to discuss the findings from MIGHTy-Heart, a comparative effectiveness study that evaluated two different post-discharge care approaches for patients hospitalized with heart failure. (NCT04662541) The trial compared a traditional Transitions of Care Coordinator approach to a Mobile Integrated Health model to determine which was more effective at reducing 30-day hospital readmissions and improving patient-reported health-related quality of life.

Findings showed no difference between the two study arms in 30-day all-cause readmissions or health status, however there were significant interaction effects that suggest women and younger patients could benefit from MIH intervention over the TOCC intervention.

Interview Questions:

1. What is the importance of this study?
2. Could you tell us about the study design and patient population?
3. What training was required for the community paramedics to effectively manage heart failure patients in the home setting?
4. What are the key outcomes?
5. What implications do these findings have for heart failure care models, particularly in rural or underserved areas?
6. What are your key take-home messages?

Recorded onsite at the ACC Conference 2025, in Chicago.

Editors: Jordan Rance, Yazmin Sadik
Video Specialists: Dan Brent, David Ben-Harosh