Silva-Cardoso José, Juanatey José Ramón González, Comin-Colet Josep, Sousa José Maria, Cavalheiro Ana, Moreira Emília
Faculty of Medicine, University of Porto Porto, Portugal.
São João University Hospital Centre Porto, Portugal.
Card Fail Rev. 2021 May 28;7:e11. doi: 10.15420/cfr.2020.32. eCollection 2021 Mar.
Telemedicine (TM) is potentially a way of escalating heart failure (HF) multidisciplinary integrated care. Despite the initial efforts to implement TM in HF management, we are still at an early stage of its implementation. The coronavirus disease 2019 pandemic led to an increased utilisation of TM. This tendency will probably remain after the resolution of this threat. Face-to-face medical interventions are gradually transitioning to the virtual setting by using TM. TM can improve healthcare accessibility and overcome geographic inequalities. It promotes healthcare system efficiency gains, and improves patient self-management and empowerment. In cooperation with human intervention, artificial intelligence can enhance TM by helping to deal with the complexities of multicomorbidity management in HF, and will play a relevant role towards a personalised HF patient approach. Artificial intelligence-powered/telemedical/heart team/multidisciplinary integrated care may be the next step of HF management. In this review, the authors analyse TM trends in the management of HF patients and foresee its future challenges within the scope of HF multidisciplinary integrated care.
远程医疗(TM)可能是提升心力衰竭(HF)多学科综合护理水平的一种方式。尽管最初在HF管理中实施TM付出了努力,但我们仍处于其实施的早期阶段。2019年冠状病毒病大流行导致TM的使用增加。在这一威胁消除后,这种趋势可能仍会持续。面对面医疗干预正通过使用TM逐渐向虚拟环境转变。TM可以提高医疗可及性并克服地理不平等。它促进医疗系统效率提升,并改善患者自我管理和赋权。与人工干预合作,人工智能可以通过帮助处理HF中多重合并症管理的复杂性来增强TM,并将在个性化HF患者治疗方法中发挥相关作用。人工智能驱动的/远程医疗的/心脏团队的/多学科综合护理可能是HF管理的下一步。在本综述中,作者分析了HF患者管理中的TM趋势,并预见了其在HF多学科综合护理范围内未来面临的挑战。