Piotrowicz Ewa
a Telecardiology Center , Institute of Cardiology , Warsaw , Poland.
Expert Rev Med Devices. 2017 Apr;14(4):271-277. doi: 10.1080/17434440.2017.1314181. Epub 2017 Apr 12.
The increasing pandemic of heart failure is becoming a serious challenge for the health care system. The medical world is searching for solutions which could decrease its scale and improve patients' quality of life and prognosis. Telemanagement of heart failure patients is a new promising option. Technical and technological platforms to perform e-Health management in heart failure patients' homes have become available. This paper's aims are to present different forms of e-Health including telecare, home monitoring of cardiovascular implantable electronic devices, remote monitoring of hemodynamic implantable devices and telerehabilitation in providing optimal long term management for heart failure patients. Areas covered: E-education and self-monitoring, structured telephone support and telemonitoring, remote monitoring of cardiovascular implantable electronics devices and hemodynamic implantable electronic devices and telerehabilitation. Expert commentary: The data analyzed in the paper suggests that remote monitoring is capable of identifying life-threatening deterioration and helps heart failure patients avoid seeking medical assistance in hospitals and that home-based telerehabilitation is well accepted, safe, effective and has high adherence among HF patients.
心力衰竭疫情的不断加剧正成为医疗保健系统面临的严峻挑战。医学界正在寻找能够缩小其规模并改善患者生活质量和预后的解决方案。心力衰竭患者的远程管理是一个新的有前景的选择。在心力衰竭患者家中进行电子健康管理的技术和科技平台已经出现。本文的目的是介绍不同形式的电子健康，包括远程护理、心血管植入式电子设备的家庭监测、血流动力学植入式设备的远程监测以及远程康复，以对心力衰竭患者进行最佳的长期管理。涵盖领域：电子教育与自我监测、结构化电话支持与远程监测、心血管植入式电子设备和血流动力学植入式电子设备的远程监测以及远程康复。专家评论：本文分析的数据表明，远程监测能够识别危及生命的病情恶化，帮助心力衰竭患者避免前往医院寻求医疗救助，而且居家远程康复在心力衰竭患者中得到了很好的接受，安全、有效且依从性高。
