Atreja Ashish, Francis Sandesh, Kurra Sravya, Kabra Rajesh
Icahn School of Medicine at Mount Sinai, Box 1069, 1 Gustave L Levy Pl, New York, NY, 10029, USA.
Virtuous Medicine Private Limited, No-22, LGCL Ashlar, 55-1 Choodasandra, Kasavanahalli main road, Bengaluru, KA, 560091, India.
Curr Treat Options Cardiovasc Med. 2019 Dec 13;21(12):92. doi: 10.1007/s11936-019-0787-3.
With the evolution in digital medicine to identify and monitor cardiac electrophysiological (EP) conditions, increased access to cardiac implantable electronic devices (CIEDs), and reimbursements for non-face-to-face care, remote patient monitoring (RPM) is becoming a key part of the EP service line. RPM of cardiac electrophysiological conditions including the use of CIEDs has improved the quality of care and high patient satisfaction and proved to be cost-effective. The focus of this review is literature on RPM in EP, evidence from randomized trials, and observational studies including those of Apple Watch and future of CIEDs.
RPM has progressed to use implantable devices and wearable technologies like sensors embedded in smartphones and apps. American College of Cardiology recently launched a digital transformation network to support digital navigation and RPM across different cardiovascular diseases. The information presented here can inform healthcare providers of the most widely implemented and effective forms of RPM for patients with chronic EP conditions.
随着数字医学的发展，用于识别和监测心脏电生理（EP）状况、增加心脏植入式电子设备（CIED）的使用以及对非面对面护理的报销，远程患者监测（RPM）正成为心脏电生理服务的关键组成部分。对包括使用CIED在内的心脏电生理状况进行RPM已提高了护理质量和患者满意度，并被证明具有成本效益。本综述的重点是关于心脏电生理领域RPM的文献、随机试验的证据以及观察性研究，包括苹果手表相关研究和CIED的未来发展。
RPM已发展到使用植入式设备以及智能手机和应用程序中嵌入的传感器等可穿戴技术。美国心脏病学会最近启动了一个数字转型网络，以支持针对不同心血管疾病的数字导航和RPM。此处提供的信息可为医疗保健提供者提供有关慢性EP疾病患者最广泛应用且有效的RPM形式的参考。
