Piotrowicz Ewa, Piepoli Massimo F, Jaarsma Tiny, Lambrinou Ekaterini, Coats Andrew J S, Schmid Jean-Paul, Corrà Ugo, Agostoni Piergiuseppe, Dickstein Kenneth, Seferović Petar M, Adamopoulos Stamatis, Ponikowski Piotr P
Telecardiology Center, Institute of Cardiology, Warsaw, Poland.
Heart Failure Unit, Cardiology, G da Saliceto Hospital, Piacenza, Italy.
Int J Cardiol. 2016 Oct 1;220:408-13. doi: 10.1016/j.ijcard.2016.06.277. Epub 2016 Jun 28.
Accessibility to the available traditional forms of cardiac rehabilitation programs in heart failure patients is not adequate and adherence to the programs remains unsatisfactory. The home-based telerehabilitation model has been proposed as a promising new option to improve this situation. This paper's aims are to discuss the tools available for telemonitoring, and describing their characteristics, applicability, and effectiveness in providing optimal long term management for heart failure patients who are unable to attend traditional cardiac rehabilitation programs. The critical issues of psychological support and adherence to the telerehabilitation programs are outlined. The advantages and limitations of this long term management modality are presented and compared with alternatives. Finally, the importance of further research, multicenter studies of telerehabilitation for heart failure patients and the technological development needs are outlined, in particular interactive remotely controlled intelligent telemedicine systems with increased inter-device compatibility.
心力衰竭患者获得现有传统心脏康复项目的机会不足，对这些项目的依从性仍然不尽人意。基于家庭的远程康复模式已被提议作为改善这种情况的一种有前景的新选择。本文的目的是讨论可用于远程监测的工具，并描述其特性、适用性以及在为无法参加传统心脏康复项目的心力衰竭患者提供最佳长期管理方面的有效性。概述了心理支持和对远程康复项目依从性的关键问题。介绍了这种长期管理模式的优点和局限性，并与其他方式进行了比较。最后，概述了进一步研究、针对心力衰竭患者的远程康复多中心研究的重要性以及技术发展需求，特别是具有更高设备间兼容性的交互式远程控制智能远程医疗系统。
