Winkler Sebastian, Köhler Friedrich
Zentrum für kardiovaskuläre Telemedizin, Campus Mitte, Charité Universitätsmedizin Berlin, Berlin, Germany.
Wien Med Wochenschr. 2011 Jul;161(13-14):347-52. doi: 10.1007/s10354-011-0009-4.
Prognosis of chronic heart failure has improved but remains severe. Modern disease management for ambulatory patients includes telemedical approaches, which have shown positive effects on morbidity and mortality both for device-assisted monitoring and for nurse telephone support. Current technology is feasible for comfortable and extensive real-time transmission of patient data. Daily monitoring of symptoms, vital signs, and information from cardiac implants should enable the health care specialist to detect early worsening of the disease and initiate treatment. Appropriate clinical application of telemedicine to the individual patient and local health care structure is a challenge.
慢性心力衰竭的预后虽有所改善，但仍然严重。针对门诊患者的现代疾病管理包括远程医疗方法，这些方法已显示出对发病率和死亡率有积极影响，无论是设备辅助监测还是护士电话支持。当前技术对于舒适且广泛地实时传输患者数据是可行的。对症状、生命体征以及心脏植入物信息进行日常监测应能使医疗保健专家检测到疾病的早期恶化并启动治疗。将远程医疗适当地临床应用于个体患者和当地医疗保健结构是一项挑战。
