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在新冠疫情期间使用植入式肺动脉压力传感器进行心力衰竭的高级远程护理:新常态。

Advanced remote care for heart failure in times of COVID-19 using an implantable pulmonary artery pressure sensor: the new normal.

作者信息

Bayes-Genis Antoni, Codina Pau, Abdul-Jawad Altisent Omar, Santiago Evelyn, Domingo Mar, Cediel Germán, Spitaleri Giosafat, Lupón Josep

机构信息

Heart Institute and Heart Failure Unit and Cardiology Department, Hospital Universitari Germans Trias i Pujol, Carretera del Canyet s/n, 08916 Badalona, Spain.

Department of Medicine, Autonomous University of Barcelona, Barcelona, Spain.

出版信息

Eur Heart J Suppl. 2020 Dec 23;22(Suppl Pt t):P29-P32. doi: 10.1093/eurheartj/suaa169. eCollection 2020 Dec.

Abstract

Heart failure (HF) is a major public health problem and a leading cause of hospitalization in western countries. Over the past decades, the goal has been to find the best method for monitoring congestive symptoms to prevent hospitalizations. Addressing this task through regular physician visits, blood tests, and imaging has proven insufficient for optimal control and has not decreased enough HF-related hospitalization rates. In recent years, new devices have been developed for this reason and CardioMEMS is one of the therapeutic monitoring options. CardioMEMS has shown to be effective in preventing and reducing HF hospitalizations in patients both with HF with reduced ejection fraction and HF with preserved ejection fraction. CardioMEMS' versatility has made it a great option for pulmonary artery pressure monitoring, both during the coronavirus disease-19 (COVID-19) pandemic and when the clinic visits have (partially) resumed. CardioMEMS is the remote haemodynamic monitoring system with the most evidence-driven efficacy, and COVID-19 has put it in the spot as a centre-stage technology for HF monitoring. In a few months of the COVID-19 epidemic, CardioMEMS has grown to maturity, making it the new normal for high-quality, high-value remote HF care.

摘要

心力衰竭(HF)是一个重大的公共卫生问题,也是西方国家住院治疗的主要原因。在过去几十年里,目标一直是找到监测充血症状以预防住院的最佳方法。通过定期看医生、血液检查和影像学检查来完成这项任务,已证明不足以实现最佳控制,且未能充分降低与HF相关的住院率。近年来,出于这个原因开发了新设备,而CardioMEMS是治疗监测选项之一。CardioMEMS已证明在预防和减少射血分数降低的HF患者以及射血分数保留的HF患者的HF住院方面是有效的。无论是在2019冠状病毒病(COVID-19)大流行期间,还是在门诊(部分)恢复时,CardioMEMS的多功能性使其成为肺动脉压力监测的理想选择。CardioMEMS是证据驱动疗效最强的远程血流动力学监测系统,COVID-19已使其成为HF监测的核心技术。在COVID-19疫情的几个月里,CardioMEMS已发展成熟,成为高质量、高价值远程HF护理的新常态。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6459/7757718/282dcfa9d1cd/suaa169f1.jpg

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