远程心脏病学与植入式电子设备的远程监测：带来全新临床护理视角的潜力。
Telecardiology and remote monitoring of implanted electrical devices: the potential for fresh clinical care perspectives.
作者信息
Boriani Giuseppe, Diemberger Igor, Martignani Cristian, Biffi Mauro, Valzania Cinzia, Bertini Matteo, Domenichini Giulia, Saporito Davide, Ziacchi Matteo, Branzi Angelo
机构信息
Institute of Cardiology, University of Bologna, Bologna, Italy.
出版信息
J Gen Intern Med. 2008 Jan;23 Suppl 1(Suppl 1):73-7. doi: 10.1007/s11606-007-0355-5.
Abstract
Telecardiology may help confront the growing burden of monitoring the reliability of implantable defibrillators/pacemakers. Herein, we suggest that the evolving capabilities of implanted devices to monitor patients' status (heart rhythm, fluid overload, right ventricular pressure, oximetry, etc.) may imply a shift from strictly device-centered follow-up to perspectives centered on the patient (and patient-device interactions). Such approaches could provide improvements in health care delivery and clinical outcomes, especially in the field of heart failure. Major professional, policy, and ethical issues will have to be overcome to enable real-world implementation. This challenge may be relevant for the evolution of our health care systems.
摘要
远程心脏病学可能有助于应对监测植入式除颤器/起搏器可靠性所带来的日益沉重的负担。在此，我们认为植入设备监测患者状态（心律、液体过载、右心室压力、血氧饱和度等）的能力不断发展，这可能意味着从严格以设备为中心的随访向以患者（以及患者与设备的相互作用）为中心的观点转变。此类方法可能会改善医疗服务提供和临床结局，尤其是在心力衰竭领域。要实现实际应用，必须克服重大的专业、政策和伦理问题。这一挑战可能与我们医疗保健系统的发展相关。
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