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
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