Remote Monitoring To Identify Worsening Heart Failure The REMOTI-HF Randomized Clinical Trial

Patients will be randomized into two arms: one with the activation of the algorithm and the other with no active algorithm. The algorithm is programmed to alert our team upon detecting a patient at risk of worsening heart failure. When an alarm is triggered, the patient will receive a telephone call from the investigation team. Subsequently, the patient may be scheduled for a hospital visit, or ambulatory medication adjustments can be made. For patients in whom the algorithm is deactivated, no such alarm mechanism will be in place. Patients in both arms will undergo comparison based on relevant heart failure events, defined as follows: * All-Cause Mortality * Hospital Admission for Heart Failure * Hospital Visit for Worsening Heart Failure * Ventricular Arrhythmias * Atrial Arrhythmias Additionally, the study will explore the association between physical activity measured by the devices and these specified events. In addition to evaluating patient outcomes, a correlation analysis will be conducted to examine the relationship between the absolute value provided by the algorithm and absolute NT-proBNP values. This analysis aims to assess the concordance and potential predictive value of the algorithm's output with established biomarkers, specifically NT-proBNP, in the context of heart failure progression and severity (if possible).