Martirosyan Mihran, Caliskan Kadir, Theuns Dominic A M J, Szili-Torok Tamas
a Department of Electrophysiology , Erasmus MC, University Medical Center , Rotterdam , The Netherlands.
b Department of Heart Failure/Heart Transplantation , Erasmus MC, University Medical Center , Rotterdam , The Netherlands.
Expert Rev Cardiovasc Ther. 2017 Jul;15(7):503-515. doi: 10.1080/14779072.2017.1348229. Epub 2017 Jul 6.
Chronic heart failure is a cardiovascular disorder with high prevalence and incidence worldwide. The course of heart failure is characterized by periods of stability and instability. Decompensation of heart failure is associated with frequent and prolonged hospitalizations and it worsens the prognosis for the disease and increases cardiovascular mortality among affected patients. It is therefore important to monitor these patients carefully to reveal changes in their condition. Remote monitoring has been designed to facilitate an early detection of adverse events and to minimize regular follow-up visits for heart failure patients. Several new devices have been developed and introduced to the daily practice of cardiology departments worldwide. Areas covered: Currently, special tools and techniques are available to perform remote monitoring. Concurrently there are a number of modern cardiac implantable electronic devices that incorporate a remote monitoring function. All the techniques that have a remote monitoring function are discussed in this paper in detail. All the major studies on this subject have been selected for review of the recent data on remote monitoring of HF patients and demonstrate the role of remote monitoring in the therapeutic decision making for heart failure patients. Expert commentary: Remote monitoring represents a novel intensified follow-up strategy of heart failure management. Overall, theoretically, remote monitoring may play a crucial role in the early detection of heart failure progression and may improve the outcome of patients.
慢性心力衰竭是一种在全球范围内具有高患病率和发病率的心血管疾病。心力衰竭的病程以稳定期和不稳定期为特征。心力衰竭失代偿与频繁且长时间的住院相关，它会恶化疾病的预后并增加受影响患者的心血管死亡率。因此，仔细监测这些患者以发现其病情变化很重要。远程监测旨在促进不良事件的早期检测，并尽量减少心力衰竭患者的定期随访就诊。全球心血管内科日常实践中已开发并引入了几种新设备。涵盖领域：目前，有专门的工具和技术可用于进行远程监测。同时，有许多具有远程监测功能的现代心脏植入式电子设备。本文详细讨论了所有具有远程监测功能的技术。已挑选了所有关于该主题的主要研究，以回顾心力衰竭患者远程监测的最新数据，并证明远程监测在心力衰竭患者治疗决策中的作用。专家评论：远程监测是心力衰竭管理一种新的强化随访策略。总体而言，从理论上讲，远程监测可能在早期发现心力衰竭进展方面发挥关键作用，并可能改善患者的预后。
