Telecardiology and its settings of application: An update
Telecardiology and its settings of application: An update
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DOI：
10.1177/1357633x16689432
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发表时间：
2018-06-01
影响因子：
4.7
通讯作者：
Brunetti, Natale D.
中科院分区：
文献类型：
--
作者：
Molinari, Giuseppe;Molinari, Martina;Brunetti, Natale D.
在远程医疗已经成功应用的广泛的医学专业中，心脏病学可以被认为是最重要的应用领域之一。通过临床数据和心电图的传输，远程心脏病学允许访问实时评估（远程咨询），而无需患者和心脏病专家的任何旅行。这篇综述讨论了远程心脏病学在不同临床应用环境中的影响。院前远程心脏病学已被证明是有用的，无论是在临床管理的远程急性冠脉综合征患者或在支持全科医生的决策过程。在医院远程心脏病学的背景下，大多数应用是指农村小医院和三级保健中心之间的实时超声心动图传输，特别是用于诊断或排除新生儿先天性心脏病。最后，许多试验表明，院后远程心脏病学改善了结果，减少了心力衰竭、心律失常或植入式设备患者的再次入院或门诊接触。
Among the wide range of medical specialties in which telemedicine has been successfully applied, cardiology can be considered as one of the most important fields of application. Through the transmission of clinical data and the electrocardiogram, telecardiology allows access to a real-time assessment (teleconsultation) without any need to travel for both patient and cardiologist. This review discusses the impact of telecardiology in different clinical settings of application. Pre-hospital telecardiology has proved to be useful either in the clinical management of remote patients with acute coronary syndrome or in supporting the decision-making process of general practitioners. In the setting of in-hospital telecardiology, most of the applications refer to real-time echocardiography transmissions between rural small hospitals and tertiary care centres, particularly for the diagnosis or exclusion of congenital heart disease in newborns. Finally, many trials show that post-hospital telecardiology improves outcomes and reduces re-admissions or outpatient contacts in patients with heart failure, arrhythmias or implantable devices.