Department of Medical Emergencies, Wrocław Medical University, ul. K. Parkowa 34, 51-616 Wrocław, Poland.
Klodzko County Hospital, ul Szpitalna 1a, 57-300 Kłodzko, Poland.
Medicina (Kaunas). 2022 Feb 1;58(2):210. doi: 10.3390/medicina58020210.
The registration of physical signals has long been an important part of cardiological diagnostics. Current technology makes it possible to send large amounts of data to remote locations. Solutions that enable diagnosis and treatment without direct contact with patients are of enormous value, especially during the COVID-19 outbreak, as the elderly require special protection. The most important examples of telemonitoring in cardiology include the use of implanted devices such as pacemakers and defibrillators, as well as wearable sensors and data processing units. The arrythmia detection and monitoring patients with heart failure are the best studied in the clinical setting, although in many instances we still lack clear evidence of benefits of remote approaches vs. standard care. Monitoring for ischemia is less well studied. It is clear however that the economic and organizational gains of telemonitoring for healthcare systems are substantial. Both patients and healthcare professionals have expressed an enormous demand for the further development of such technologies. In addition to these subjects, in this paper we also describe the safety concerns associated with transmitting and storing potentially sensitive personal data.
生理信号的记录长期以来一直是心脏病学诊断的重要组成部分。当前的技术使得向远程位置发送大量数据成为可能。能够在不与患者直接接触的情况下进行诊断和治疗的解决方案具有巨大的价值，尤其是在 COVID-19 爆发期间，因为老年人需要特别保护。心脏病学远程监测最重要的例子包括使用植入式设备（如起搏器和除颤器）以及可穿戴传感器和数据处理单元。心律失常检测和心力衰竭患者监测在临床环境中研究得最多，尽管在许多情况下，我们仍然缺乏远程方法与标准护理相比的益处的明确证据。对缺血的监测研究得较少。然而，很明显，远程监测对医疗保健系统的经济和组织效益是巨大的。患者和医疗保健专业人员都对这些技术的进一步发展表示了巨大的需求。除了这些主题，在本文中，我们还描述了与传输和存储潜在敏感个人数据相关的安全问题。
