Tang W H Wilson
Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio 44195, USA. USA.
Am J Cardiol. 2007 May 21;99(10A):41G-4G. doi: 10.1016/j.amjcard.2007.02.044.
Although ongoing research has focused on the reliability and accuracy of data derived from implanted devices, important challenges remain, among which is the development of a framework for handling the data, including delineation of responsibility for interpretation and management of the data. The barriers to a successful device-monitoring program include difficulties in data access, unfamiliarity with a new treatment approach, lack of sufficient knowledge and experience in data interpretation, and difficulty incorporating the program into the existing workflow. The dynamics of collaboration between heart failure and electrophysiology (EP) specialists may differ locally and regionally, but a common set of barriers resulting from traditional models of care constrains incorporation of device-based data into clinical practice. Active dialogue between EP and heart failure specialists that involves the sharing of experiences and practice models is an important first step to overcoming these barriers. In the future, a "virtual clinic" model of patient care can only be realized with the successful incorporation of remotely accessed device data.
尽管正在进行的研究聚焦于植入设备所产生数据的可靠性和准确性，但仍存在重大挑战，其中之一是建立一个处理数据的框架，包括明确数据解读和管理的责任划分。成功实施设备监测项目的障碍包括数据获取困难、对新治疗方法不熟悉、缺乏足够的数据解读知识和经验，以及难以将该项目纳入现有工作流程。心力衰竭和电生理（EP）专家之间的协作动态在本地和区域可能存在差异，但传统护理模式导致的一系列共同障碍限制了基于设备的数据在临床实践中的应用。EP专家和心力衰竭专家之间进行积极对话，包括分享经验和实践模式，是克服这些障碍的重要第一步。未来，只有成功整合远程获取的设备数据，才能实现患者护理的“虚拟诊所”模式。
