Telecardiology and remote monitoring of implanted electrical devices: The potential for fresh clinical care perspectives

被引：45

作者：

Boriani, Giuseppe ^{[1
]}

Diemberger, Igor ^{[1
]}

Martignani, Cristian ^{[1
]}

Biffi, Mauro ^{[1
]}

Valzania, Cinzia ^{[1
]}

Bertini, Matteo ^{[1
]}

Domenichini, Giulia ^{[1
]}

Saporito, Davide ^{[1
]}

Ziacchi, Matteo ^{[1
]}

Branzi, Angelo ^{[1
]}

机构：

[1] Univ Bologna, Inst Cardiol, Azienda Osped S Orsola Malpighi, I-40138 Bologna, Italy

来源：

JOURNAL OF GENERAL INTERNAL MEDICINE | 2008年 / 23卷 / Suppl 1期

关键词：

defibrillator; devices; heart failure; monitoring; pacemaker; telemedicine; telecardiology;

D O I：

10.1007/s11606-007-0355-5

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Telecardiology may help confront the growing burden of monitoring the reliability of implantable defibrillators/pacemakers. Herein, we suggest that the evolving capabilities of implanted devices to monitor patients' status (heart rhythm, fluid overload, right ventricular pressure, oximetry, etc.) may imply a shift from strictly device-centered follow-up to perspectives centered on the patient (and patient-device interactions). Such approaches could provide improvements in health care delivery and clinical outcomes, especially in the field of heart failure. Major professional, policy, and ethical issues will have to be overcome to enable real-world implementation. This challenge may be relevant for the evolution of our health care systems.

引用

页码：73 / 77

页数：5

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