Reiss Nils, Schmidt Thomas, Boeckelmann Michael, Schulte-Eistrup Sebastian, Hoffmann Jan-Dirk, Feldmann Christina, Schmitto Jan D
Department for Clinical Research, Schüchtermann-Klinik Bad Rothenfelde, Bad Rothenfelde, Germany.
Department of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany.
J Thorac Dis. 2018 Jun;10(Suppl 15):S1794-S1801. doi: 10.21037/jtd.2018.01.158.
E-health, especially telemedicine, has undergone a remarkably dynamic development over the past few years. Most experience is currently in the field of telemedical care for heart failure (HF) patients. However, HF patients with an implanted left-ventricular assist device (LVAD) have been more or less excluded from consistent telemonitoring until now. And yet, continual monitoring would be very significant for this patient group because of the complexity of its aftercare, requiring steady control of various parameters (device-related parameters, vital parameters, coagulation parameters, etc.). With timely action, severe and costly complications like pump thromboses and driveline infections could be detected early on or even avoided completely. This paper describes the potential of telemonitoring in LVAD patients, as well as its first clinical implementation according to the available literature. It also describes the requirements for a complete telemonitoring of LVAD patients, facilitating the advancement of this form of continual monitoring to a clinical standard which would increase the quality of aftercare for this very special patient collective enormously.
在过去几年中，电子健康，尤其是远程医疗，经历了显著的动态发展。目前，大多数经验来自于心力衰竭（HF）患者的远程医疗护理领域。然而，迄今为止，植入左心室辅助装置（LVAD）的HF患者在很大程度上被排除在持续远程监测之外。然而，由于该患者群体术后护理的复杂性，需要对各种参数（与装置相关的参数、生命参数、凝血参数等）进行持续控制，因此持续监测对他们非常重要。通过及时采取行动，可以早期发现甚至完全避免诸如泵血栓形成和驱动线感染等严重且昂贵的并发症。本文根据现有文献描述了LVAD患者远程监测的潜力及其首次临床应用。它还描述了对LVAD患者进行完整远程监测的要求，有助于将这种持续监测形式提升到临床标准，这将极大地提高这个非常特殊患者群体的术后护理质量。
