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数字心脏康复和二级预防:寻找理想的工具。

Digital Health in Cardiac Rehabilitation and Secondary Prevention: A Search for the Ideal Tool.

机构信息

Heart Centre Hasselt, Jessa Hospital, 3500 Hasselt, Belgium.

Mobile Health Unit, Faculty of Medicine and Life Sciences, Hasselt University, 3500 Hasselt, Belgium.

出版信息

Sensors (Basel). 2020 Dec 22;21(1):12. doi: 10.3390/s21010012.

Abstract

Digital health is becoming more integrated in daily medical practice. In cardiology, patient care is already moving from the hospital to the patients' homes, with large trials showing positive results in the field of telemonitoring via cardiac implantable electronic devices (CIEDs), monitoring of pulmonary artery pressure via implantable devices, telemonitoring via home-based non-invasive sensors, and screening for atrial fibrillation via smartphone and smartwatch technology. Cardiac rehabilitation and secondary prevention are modalities that could greatly benefit from digital health integration, as current compliance and cardiac rehabilitation participation rates are low and optimisation is urgently required. This viewpoint offers a perspective on current use of digital health technologies in cardiac rehabilitation, heart failure and secondary prevention. Important barriers which need to be addressed for implementation in medical practice are discussed. To conclude, a future ideal digital tool and integrated healthcare system are envisioned. To overcome personal, technological, and legal barriers, technological development should happen in dialog with patients and caregivers. Aided by digital technology, a future could be realised in which we are able to offer high-quality, affordable, personalised healthcare in a patient-centred way.

摘要

数字医疗在日常医疗实践中变得越来越普及。在心脏病学领域,患者护理已经从医院转移到患者家中,大型试验在通过心脏植入式电子设备(CIED)进行远程监测、通过植入设备监测肺动脉压、通过基于家庭的无创传感器进行远程监测以及通过智能手机和智能手表技术筛查心房颤动等领域取得了积极的结果。心脏康复和二级预防是可以从数字医疗整合中极大受益的模式,因为目前的依从性和心脏康复参与率较低,迫切需要优化。本观点提供了当前在心脏康复、心力衰竭和二级预防中使用数字健康技术的视角。讨论了在医疗实践中实施所需解决的重要障碍。最后,设想了未来理想的数字工具和综合医疗系统。为了克服个人、技术和法律障碍,技术发展应该与患者和护理人员进行对话。借助数字技术,我们可以实现一个未来,以患者为中心,提供高质量、负担得起、个性化的医疗保健。

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