心脏植入式电子设备的远程监测:证据是什么?

IF 3.8 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Current Heart Failure Reports Pub Date : 2023-02-01 DOI:10.1007/s11897-023-00586-1
Adrian Reinhardt, Rodolfo Ventura
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引用次数: 0

摘要

综述目的:本文综述了远程监测植入式设备在诊断和治疗中的应用。最近的发现:近年来,随着医疗保健朝着更加病人集中的系统发展,心脏植入装置的远程监测变得越来越流行。对于装有ICD或起搏器的心力衰竭患者,关于临床结果的改善,例如,住院率或总死亡率的降低,存在有争议的证据。通过测量肺动脉压进行血流动力学远程监测的新发展是有希望的技术成果,显示出令人鼓舞的结果。在晕厥和心律失常的心脏远程监测中,植入式环路记录仪在诊断算法中起着重要作用。尽管关于植入式装置的远程监测存在争议,但其使用正在迅速扩大,使医疗保健提供者有机会对患者病情恶化作出迅速反应。对远程监测系统产生的数据进行充分评估仍然是当代医疗保健服务的一个未解决的挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Remote Monitoring of Cardiac Implantable Electronic Devices: What is the Evidence?

Purpose of review: This review offers an overview of the evidence in diagnostic and therapeutic applications of remote monitoring implantable devices.

Recent findings: Remote monitoring of cardiac implantable devices has become more and more popular in recent years as healthcare is moving towards a more patient centralized system. For heart failure patients with an ICD or pacemaker, there is controversial evidence regarding improvements in the clinical outcome, e.g., reduction of hospitalization rates or overall mortality. New developments as hemodynamic remote monitoring via measurement of the pulmonary artery pressure are promising technical achievements showing encouraging results. In cardiac remote monitoring of syncope and arrhythmias, implantable loop recorder plays an important role in diagnostic algorithms. Although there is controversial evidence according to remote monitoring of implantable devices, its use is rapidly expanding, giving healthcare providers the opportunity to react promptly to worsening of their patients. Adequate evaluation of the data created by remote monitoring systems remains an unsolved challenge of contemporary healthcare services.

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来源期刊
Current Heart Failure Reports
Current Heart Failure Reports Medicine-Emergency Medicine
CiteScore
5.30
自引率
0.00%
发文量
44
期刊介绍: This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of heart failure. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as investigative, pharmacologic, and nonpharmacologic therapies, pathophysiology, and prevention. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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