Cardiovascular Research Center, Massachusetts General Hospital, Boston, Massachusetts. Electronic address: https://twitter.com/furrukhsana.
Healthcare Transformation Laboratory, Massachusetts General Hospital, Boston, Massachusetts. Electronic address: https://twitter.com/eisselbacher.
J Am Coll Cardiol. 2020 Apr 7;75(13):1582-1592. doi: 10.1016/j.jacc.2020.01.046.
Ambulatory monitoring devices are enabling a new paradigm of health care by collecting and analyzing long-term data for reliable diagnostics. These devices are becoming increasingly popular for continuous monitoring of cardiac diseases. Recent advancements have enabled solutions that are both affordable and reliable, allowing monitoring of vulnerable populations from the comfort of their homes. They provide early detection of important physiological events, leading to timely alerts for seeking medical attention. In this review, the authors aim to summarize the recent developments in the area of ambulatory and remote monitoring solutions for cardiac diagnostics. The authors cover solutions based on wearable devices, smartphones, and other ambulatory sensors. The authors also present an overview of the limitations of current technologies, their effectiveness, and their adoption in the general population, and discuss some of the recently proposed methods to overcome these challenges. Lastly, we discuss the possibilities opened by this new paradigm, for the future of health care and personalized medicine.
移动监测设备通过收集和分析长期数据来进行可靠诊断,从而开创了医疗保健的新模式。这些设备在心脏疾病的连续监测方面越来越受欢迎。最近的进展使得既经济又可靠的解决方案成为可能,使监测弱势群体的工作可以在他们舒适的家中进行。它们可以及早发现重要的生理事件,以便及时发出就医警报。在这篇综述中,作者旨在总结移动和远程心脏诊断监测解决方案领域的最新进展。作者介绍了基于可穿戴设备、智能手机和其他移动传感器的解决方案。作者还介绍了当前技术的局限性、有效性及其在普通人群中的应用,并讨论了一些最近提出的克服这些挑战的方法。最后,我们讨论了这种新模式为医疗保健和个性化医疗的未来带来的可能性。