Advances in telemedicine for the management of the elderly cardiac patient

作     者：Nadim El Jamal Bernard Abi-Saleh Hussain Isma’eel Nadim El Jamal;Bernard Abi-Saleh;Hussain Isma'eel

作者机构：Division of CariologyAmerican University of Beirut Faculty of Medicine and Medical CenterBeirutLebanon 

出 版 物：《Journal of Geriatric Cardiology》 (老年心脏病学杂志（英文版）)

年 卷 期：2021年第18卷第9期

页      面：759-767页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：ECG CRT ICD Advances in telemedicine for the management of the elderly cardiac patient 

摘      要：Telemedicine is the use of information and communication technology to deliver healthcare at a *** has been resorted to during the COVID-19 pandemic to lessen the need for in-person patient care decreasing the risk of transmission,and it can be of benefit afterward in the management of cardiac *** elderly population has unique challenges concerning the use of telehealth *** thus review the advances in telemedicine technologies in treating elderly cardiac patients including in our discussion only studies with a mean age of participants above *** monitoring of blood pressure,weight,and symptoms,along with home ECG recording has been found to be superior to usual in-clinic follow *** remote monitoring with video conferencing with physicians,patient education websites,and applications is also of *** monitoring of Implantable Cardioverter Defibrillators(ICD)and Cardiac Resynchronization Therapy Defibrillators(CRT-D)is also beneficial but can be at the cost of an increase in both appropriate and inappropriate *** sensing devices compatible with remote monitoring have been developed and have been shown to improve care and *** smartphone software can detect arrhythmias using home ECG recordings and can detect atrial fibrillation using smartphone *** monitoring of implanted pacemakers has shown non-inferiority to in clinic follow *** the other hand,small-scale questionnaire-based studies demonstrated the willingness of the elderly cardiac patients to use such technologies,and their satisfaction with their use and ease of ***-scale studies should further investigate useability in samples more representative of the general elderly population with more diverse socioeconomic and educational ***,it seems that studying integrating multiple technologies into telehealth programs is of great *** efforts should also be put in validating the te