Nomoto Shinichi, Utsumi Momoe, Minakata Kenji
Department of Human Health Sciences, Kyoto University Graduate School of Medicine, Kyoto - Japan.
Department of Cardiovascular Surgery, Kyoto University Graduate School of Medicine, Kyoto - Japan.
Int J Artif Organs. 2016 Jul 4;39(5):245-8. doi: 10.5301/ijao.5000502. Epub 2016 Jun 6.
Since implantable left ventricular assist devices (LVAD) with smaller configurations became available for bridge-to-transplant or even destination therapy in patients with end-stage heart failure, an increasing number of patients with these devices are receiving home medical management. However, these patients may be anxious about potential complications such as pump failure, thromboembolism, and infections that may occur during home management. To provide a sense of security during home management of patients with LVAD and to establish an ideal shared-care system, we developed a patient-centered cloud-based home management system for patients with LVAD. In this case report, we describe this system and report a trial of it in a 64-year-old patient with an LVAD.
自从配置更小的植入式左心室辅助装置（LVAD）可用于终末期心力衰竭患者的桥接移植甚至终末治疗以来，越来越多植入这些装置的患者正在接受家庭医疗管理。然而，这些患者可能会担心在家管理期间可能出现的潜在并发症，如泵衰竭、血栓栓塞和感染。为了在LVAD患者的家庭管理期间提供安全感并建立理想的共享护理系统，我们为LVAD患者开发了一个以患者为中心的基于云的家庭管理系统。在本病例报告中，我们描述了该系统并报告了一名64岁LVAD患者对其进行的试用情况。
