1 Telemedico s.r.l., Italy.
2 Department of Medical and Surgical Sciences, University of Foggia, Italy.
J Telemed Telecare. 2018 Jun;24(5):373-381. doi: 10.1177/1357633X16689432. Epub 2017 Jan 13.
Among the wide range of medical specialties in which telemedicine has been successfully applied, cardiology can be considered as one of the most important fields of application. Through the transmission of clinical data and the electrocardiogram, telecardiology allows access to a real-time assessment (teleconsultation) without any need to travel for both patient and cardiologist. This review discusses the impact of telecardiology in different clinical settings of application. Pre-hospital telecardiology has proved to be useful either in the clinical management of remote patients with acute coronary syndrome or in supporting the decision-making process of general practitioners. In the setting of in-hospital telecardiology, most of the applications refer to real-time echocardiography transmissions between rural small hospitals and tertiary care centres, particularly for the diagnosis or exclusion of congenital heart disease in newborns. Finally, many trials show that post-hospital telecardiology improves outcomes and reduces re-admissions or outpatient contacts in patients with heart failure, arrhythmias or implantable devices.
在远程医疗成功应用的众多医学专业中，心脏病学可以被视为最重要的应用领域之一。通过传输临床数据和心电图，远程心脏病学可以实现无需患者和心脏病专家出行即可进行实时评估（远程咨询）。本文综述了远程心脏病学在不同临床应用环境中的影响。院前远程心脏病学已被证明在急性冠状动脉综合征的远程患者的临床管理中或在支持全科医生的决策过程中是有用的。在院内远程心脏病学中，大多数应用是指农村小医院和三级护理中心之间的实时超声心动图传输，特别是用于诊断或排除新生儿先天性心脏病。最后，许多试验表明，院后远程心脏病学可以改善心力衰竭、心律失常或植入式设备患者的预后并减少再入院或门诊就诊次数。
