Kauw Dirkjan, Koole M A C, van Dorth Jolien R, Tulevski Igor I, Somsen G Aernout, Schijven Marlies P, Dohmen Daan A J, Bouma Berto J, Mulder Barbara J M, Schuuring Mark J, Winter Michiel M
a Department of Cardiology , Amsterdam UMC, University of Amsterdam , Amsterdam , the Netherlands.
b Netherlands Heart Institute , Utrecht , the Netherlands.
Expert Rev Cardiovasc Ther. 2018 Sep;16(9):627-634. doi: 10.1080/14779072.2018.1508343. Epub 2018 Aug 20.
Mobile health (mHealth), an advanced form of eHealth is expected to drastically change the field of traditional healthcare in the near future as wearables and mobile applications are rapidly increasing in number. The majority of patients with congenital heart disease (CHD) now reach adulthood and this relative young patient population seems particularly suited for mHealth, as they require lifelong follow-up, experience high morbidity burden, and were raised in this digital era. In patients with acquired heart disease the potential of eHealth has been demonstrated, yet data are still inconclusive. Areas covered: In this review of the current literature we evaluated the effect of various eHealth interventions in patients with CHD. Our search resulted in a mere 10 studies, which comprised mostly of children or adolescents with severe CHD. Home-monitoring of saturation and weight through mHealth was found to be beneficial in patients after palliation procedures, and video conferencing was found to have a positive effect on anxiety and healthcare utilization. Expert commentary: Due to high morbidity and mortality in patients with CHD and the promising results of eHealth interventions, further research is desperately needed.
移动健康（mHealth）作为电子健康（eHealth）的一种高级形式，随着可穿戴设备和移动应用数量的迅速增加，有望在不久的将来彻底改变传统医疗保健领域。大多数先天性心脏病（CHD）患者现已成年，这一相对年轻的患者群体似乎特别适合移动健康，因为他们需要终身随访，承受着较高的发病负担，且成长于这个数字时代。在获得性心脏病患者中，电子健康的潜力已得到证明，但数据仍无定论。涵盖领域：在本次对当前文献的综述中，我们评估了各种电子健康干预措施对先天性心脏病患者的影响。我们的检索仅得到10项研究，其中大多数是患有严重先天性心脏病的儿童或青少年。通过移动健康进行血氧饱和度和体重的家庭监测被发现对姑息治疗后的患者有益，视频会议被发现对焦虑和医疗保健利用有积极影响。专家评论：由于先天性心脏病患者的高发病率和死亡率以及电子健康干预措施取得的可喜成果，迫切需要进一步的研究。
