Planinc Ivo, Milicic Davor, Cikes Maja
Department of Cardiovascular Diseases, University of Zagreb School of Medicine and University Hospital Centre Zagreb Zagreb, Croatia.
Card Fail Rev. 2020 Apr 21;6:e06. doi: 10.15420/cfr.2019.12. eCollection 2020 Mar.
Telemonitoring (TM) aims to predict and prevent worsening heart failure (HF) episodes and improve self-care, patient education, treatment adherence and survival. There is a growing number of TM options for patients with HF, but there are numerous challenges in reaching positive outcomes. Conflicting evidence from clinical trials may be the result of the enormous heterogeneity of TM devices tested, differences in selected patient populations and variabilities between healthcare systems. This article covers some basic concepts of TM, looking at the recent advances in the most frequently used types of TM and the evidence to support its use in the care of people with HF.
远程监测(TM)旨在预测和预防心力衰竭(HF)发作的恶化,并改善自我护理、患者教育、治疗依从性和生存率。针对HF患者的TM选项越来越多,但要取得积极成果仍面临诸多挑战。临床试验中相互矛盾的证据可能是由于所测试的TM设备存在巨大异质性、所选患者群体的差异以及医疗保健系统之间的变异性所致。本文涵盖了TM的一些基本概念,探讨了最常用的TM类型的最新进展以及支持其用于HF患者护理的证据。