Tchapmi Donald P, Agyingi Chris, Egbe Antoine, Marcus Gregory M, Noubiap Jean Jacques
Department of Medicine, Brookdale University Hospital Medical Center, Brooklyn, NY, USA.
Department of Medicine, Woodhull Medical Center, Brooklyn, NY, USA.
Expert Rev Cardiovasc Ther. 2023 Jul-Dec;21(8):553-563. doi: 10.1080/14779072.2023.2226868. Epub 2023 Jun 23.
Digital health is a broad term that includes telecommunication technologies to collect, share and manipulate health information to improve patient health and health care services. With the growing use of wearables, artificial intelligence, machine learning, and other novel technologies, digital health is particularly relevant to the field of cardiac arrhythmias, with roles pertinent to education, prevention, diagnosis, management, prognosis, and surveillance.
This review summarizes information on the clinical use of digital health technology in arrhythmia care and discusses its opportunities and challenges.
Digital health has begun to play an essential role in arrhythmia care regarding diagnostics, long-term monitoring, patient education and shared decision making, management, medication adherence, and research. Despite remarkable advances, integrating digital health technologies into healthcare faces challenges, including patient usability, privacy, system interoperability, physician liability, analysis and incorporation of the huge amount of real-time information from wearables, and reimbursement. Successful implementation of digital health technologies requires clear objectives and deep changes to existing workflows and responsibilities.
数字健康是一个广义术语，涵盖用于收集、共享和处理健康信息以改善患者健康和医疗服务的电信技术。随着可穿戴设备、人工智能、机器学习及其他新技术的日益普及，数字健康在心律失常领域尤为重要，在教育、预防、诊断、管理、预后及监测等方面均发挥着作用。
本综述总结了数字健康技术在心律失常护理中的临床应用信息，并探讨了其机遇与挑战。
数字健康已在心律失常护理的诊断、长期监测、患者教育与共同决策、管理、药物依从性及研究等方面开始发挥重要作用。尽管取得了显著进展，但将数字健康技术融入医疗保健仍面临挑战，包括患者易用性、隐私、系统互操作性、医生责任、可穿戴设备海量实时信息的分析与整合以及报销问题。成功实施数字健康技术需要明确的目标以及对现有工作流程和职责进行深刻变革。
