<p>Heart failure (HF) is a prominent clinical condition which exerts a substantial toll on healthcare services throughout the world. It is one of the leading causes of hospitalisation worldwide and results in high re-admission rates which portend a poor prognosis for patients.</p><p>Invasive haemodynamic monitoring has arisen as a means of remotely monitoring patients with chronic HF. It provides clinicians with an opportunity to optimise patients’ pharmacotherapy in a timely manner, when changes in haemodynamics which are predictive of HF decompensation, are detected. The technology involved as part of this has evolved over years and further research in this area remains ongoing.</p><p>Herein, we provide a comprehensive review of the invasive haemodynamic monitors used to date in clinical practice for patients with symptomatic HF, and discuss their specific features and evidence for their efficacy. Furthermore, we discuss some of the future considerations for this technology which will help shape their specific role in the management of patients with chronic HF on a broader level.</p> Graphical Abstract <p></p>