Helms Thomas M, Boriani Giuseppe, Brunner-La Rocca Hans-Peter, Klein Cedric, Koehler Friedrich, Krzesiński Paweł, Maaser Yannick, Neumann Anne, Merino Jose L, Schultz Carsten, Wright David Jay, Zippel-Schultz Bettina, Hindricks Gerhard
German Foundation for the Chronically Ill, Berlin, Germany.
Peri Cor Cardiology Working Group/Ass. UCSF, Hamburg, Germany.
Herzschrittmacherther Elektrophysiol. 2025 Apr 8. doi: 10.1007/s00399-025-01076-8.
Cardiovascular diseases remain one of the leading causes of death worldwide, placing a significant burden on individuals, families and healthcare systems. Telemedicine, in particular remote monitoring of patients with cardiovascular diseases, reduces this burden as it links the continuous monitoring of the health status with individual education and adaptation of the therapy to the needs of the patients. This improves patient outcomes and facilitates access to specialised healthcare services, independent of time and distance. Furthermore, telemedicine enables improvements in efficiency and promotes patients' self-care. However, the widespread adoption of remote patient monitoring faces several hurdles. A round table of experts from seven European countries (France, Germany, Italy, Poland, Spain, the Netherlands and the United Kingdom) reviewed the current state of telemedicine within the participating countries in order to learn from each other with an impetus for European co-operation. The creation of reliable regulations, overcoming regional differences, the redefinition of roles and processes, the personalisation of healthcare services, the promotion of innovation and research, the use of artificial intelligence and, finally, the efficient management and safeguarding of healthcare data were identified as key levers for further development of telemedicine. This discussion paper emphasises the need for cross-national research activities, involving all stakeholders, such as researchers, industry and patients, to foster the integration of telemedicine in clinical pathways.
心血管疾病仍然是全球主要死因之一，给个人、家庭和医疗保健系统带来了沉重负担。远程医疗，特别是对心血管疾病患者的远程监测，减轻了这一负担，因为它将健康状况的持续监测与个人教育以及根据患者需求调整治疗方法联系起来。这改善了患者的治疗效果，并使人们能够不受时间和距离限制，方便地获得专业医疗服务。此外，远程医疗还能提高效率并促进患者的自我护理。然而，远程患者监测的广泛应用面临着几个障碍。来自七个欧洲国家（法国、德国、意大利、波兰、西班牙、荷兰和英国）的专家圆桌会议审查了参与国远程医疗的现状，以便相互学习，推动欧洲合作。制定可靠的法规、克服地区差异、重新定义角色和流程、医疗服务个性化、促进创新和研究、使用人工智能，以及最后高效管理和保护医疗数据，被确定为远程医疗进一步发展的关键杠杆。本讨论文件强调需要开展跨国研究活动，让研究人员、行业和患者等所有利益相关者参与其中，以促进远程医疗融入临床路径。
