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Erschienen in: Wiener klinische Wochenschrift 23-24/2020

01.12.2020 | position paper

Recommendations on the utilization of telemedicine in cardiology

verfasst von: Michael Gruska, Gerhard Aigner, Johann Altenberger, Dagmar Burkart-Küttner, Lukas Fiedler, Marianne Gwechenberger, Peter Lercher, Martin Martinek, Michael Nürnberg, Gerhard Pölzl, Gerold Porenta, Stefan Sauermann, Christoph Schukro, Daniel Scherr, Clemens Steinwender, Markus Stühlinger, Alexander Teubl, Working Group Rhythmology of the Austrian Cardiological Society

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 23-24/2020

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Summary

The enormous progress made in recent years in the field of information and communication technology and also in sensor and computer technology has affected numerous fields of medicine and is capable of inducing even radical changes in diagnostic and therapeutic processes. This is particularly true for cardiology, where, for example, telemetric monitoring of cardiac and circulatory functions has been in use for many years. Nevertheless, broad application of newer telemedical processes has not yet been achieved to the extent one would expect from the encouraging results of numerous clinical studies in this field and the state of the art of the underlying technology. In the present paper, the Working Group on Rhythmology of the Austrian Cardiological Society aims to provoke a critical discussion of the digital change in cardiology and to make recommendations for the implementation of those telemedical processes that have been shown to exert positive effects on a wide variety of medical and economic parameters. The greatest benefit of telecardiological applications is certainly to be found in the long-term care of patients with chronic cardiovascular diseases. Accordingly, follow-up care of patients with cardiological rhythm implants, management of chronic heart failure and secondary prevention following an acute cardiac event during rehabilitation are currently the most important fields of application. Telemedicine is intended to enable high-quality and cost-efficient care for an increasing number of patients, whose care poses one of the greatest challenges to our healthcare system. Not least of all, telemedicine should make a decisive contribution to improving the quality of life of this segment of the population by favorably influencing mortality, morbidity and hospitalization as well as the patient’s contribution to treatment.
Literatur
1.
Zurück zum Zitat Wilkins E, Wilson L, Wickramasinghe K, et al. European cardiovascular disease statistics 2017. Brussels: European Heart Network; 2017. Wilkins E, Wilson L, Wickramasinghe K, et al. European cardiovascular disease statistics 2017. Brussels: European Heart Network; 2017.
3.
Zurück zum Zitat Gruska M. Telemedizin in der Kardiologie. J Kardiol. 2009;16:66–70. Gruska M. Telemedizin in der Kardiologie. J Kardiol. 2009;16:66–70.
8.
10.
Zurück zum Zitat WHO. A health telematics policy in support of WHO’s Health-For-All strategy for global health development: report of the WHO group consultation on health telematics. 11–16 December 1997; Geneva. Geneva: World Health Organization; 1998. WHO. A health telematics policy in support of WHO’s Health-For-All strategy for global health development: report of the WHO group consultation on health telematics. 11–16 December 1997; Geneva. Geneva: World Health Organization; 1998.
11.
Zurück zum Zitat WHO. Global Observatory for eHealth. Telemedicine: opportunities and developments in Member States: report on the second global survey on eHealth. Geneva: World Health Organization; 2010. WHO. Global Observatory for eHealth. Telemedicine: opportunities and developments in Member States: report on the second global survey on eHealth. Geneva: World Health Organization; 2010.
13.
Zurück zum Zitat Istepanian RSH, Pattichis SC, Laxmiinarayan S. Ubiquitous mHealth systems and the convergence towards 4G mobile technologies. In: Istepanian RSH, Pattichis SC, Laxmiinarayan S, editors. M‑health: emerging mobile health systems. London: Springer; 2006. pp. 3–14. CrossRef Istepanian RSH, Pattichis SC, Laxmiinarayan S. Ubiquitous mHealth systems and the convergence towards 4G mobile technologies. In: Istepanian RSH, Pattichis SC, Laxmiinarayan S, editors. M‑health: emerging mobile health systems. London: Springer; 2006. pp. 3–14. CrossRef
14.
Zurück zum Zitat Europäische Kommission. 219 final: Grünbuch über Mobile-Health-Dienste. Brüssel: Europäische Kommission. COM; 2014. Europäische Kommission. 219 final: Grünbuch über Mobile-Health-Dienste. Brüssel: Europäische Kommission. COM; 2014.
15.
Zurück zum Zitat Rodriguez AC, Roda C, Gonzalez P, et al. Contextualizing tasks in telerehabilitation systems for older people. In: International workshop on ambient assisted living. Cham: Springer; 2015. pp. 29–41. Rodriguez AC, Roda C, Gonzalez P, et al. Contextualizing tasks in telerehabilitation systems for older people. In: International workshop on ambient assisted living. Cham: Springer; 2015. pp. 29–41.
17.
Zurück zum Zitat Rybak K. Telemedizin in der Überwachung und Nachsorge von Herzschrittmachern und Systemen zur Kardialen Resynchronisationstherapie (CRT). In: Goss F, Middeke M, Mengden T, al, editors. Praktische Telemedizin in Kardiologie und Hypertensiologie. Stuttgart: Springer; 2009. pp. 58–77. Rybak K. Telemedizin in der Überwachung und Nachsorge von Herzschrittmachern und Systemen zur Kardialen Resynchronisationstherapie (CRT). In: Goss F, Middeke M, Mengden T, al, editors. Praktische Telemedizin in Kardiologie und Hypertensiologie. Stuttgart: Springer; 2009. pp. 58–77.
19.
Zurück zum Zitat Brignole M, Auricchio A, Baron-Esquivias G, et al. 2013 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy: the task force on cardiac pacing and resynchronization therapy of the European Society of Cardiology (ESC). Developed in collaboration with the European Heart Rhythm Association (EHRA). Europace. 2013(15):1070–1011. https://​doi.​org/​10.​1093/​europace/​eut206. Brignole M, Auricchio A, Baron-Esquivias G, et al. 2013 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy: the task force on cardiac pacing and resynchronization therapy of the European Society of Cardiology (ESC). Developed in collaboration with the European Heart Rhythm Association (EHRA). Europace. 2013(15):1070–1011. https://​doi.​org/​10.​1093/​europace/​eut206.
23.
Zurück zum Zitat Ponikowski P, Voors AA, Anker SD, et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur J Heart Fail. 2016;18:891–975. https://​doi.​org/​10.​1002/​ejhf.​592. CrossRef Ponikowski P, Voors AA, Anker SD, et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur J Heart Fail. 2016;18:891–975. https://​doi.​org/​10.​1002/​ejhf.​592. CrossRef
28.
32.
Zurück zum Zitat Hindricks G, Taborsky M, Glikson M, et al. Implant-based multiparameter telemonitoring of patients with heart failure (IN-TIME): a randomised controlled trial. Lancet. 2014;384:583–90. CrossRef Hindricks G, Taborsky M, Glikson M, et al. Implant-based multiparameter telemonitoring of patients with heart failure (IN-TIME): a randomised controlled trial. Lancet. 2014;384:583–90. CrossRef
44.
Zurück zum Zitat Krahn AD, Klein GJ, Yee R, et al. Final results from a pilot study with an implantable loop recorder to determine the etiology of syncope in patients with negative noninvasive and invasive testing. Am J Cardiol. 1998;82:117–9. CrossRef Krahn AD, Klein GJ, Yee R, et al. Final results from a pilot study with an implantable loop recorder to determine the etiology of syncope in patients with negative noninvasive and invasive testing. Am J Cardiol. 1998;82:117–9. CrossRef
49.
Zurück zum Zitat January CT, Wann LS, Calkins H, et al. 2019 AHA/ACC/HRS Focused Update of the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society in Collaboration With the Society of Thoracic Surgeons. Circulation. 2019;140:e125–e51. CrossRef January CT, Wann LS, Calkins H, et al. 2019 AHA/ACC/HRS Focused Update of the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society in Collaboration With the Society of Thoracic Surgeons. Circulation. 2019;140:e125–e51. CrossRef
60.
Zurück zum Zitat Seferovic PM, Ponikowski P, Anker SD, et al. Clinical practice update on heart failure 2019: pharmacotherapy, procedures, devices and patient management. An expert consensus meeting report of the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail. 2019;21:1169–86. https://​doi.​org/​10.​1002/​ejhf.​1531. CrossRefPubMed Seferovic PM, Ponikowski P, Anker SD, et al. Clinical practice update on heart failure 2019: pharmacotherapy, procedures, devices and patient management. An expert consensus meeting report of the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail. 2019;21:1169–86. https://​doi.​org/​10.​1002/​ejhf.​1531. CrossRefPubMed
61.
Zurück zum Zitat Wagenaar KP, Broekhuizen BDL, Jaarsma T, et al. Effectiveness of the European Society of Cardiology/Heart Failure Association website ‘heartfailurematters.org’ and an e‑health adjusted care pathway in patients with stable heart failure: results of the ‘e-Vita HF’ randomized controlled trial. Eur J Heart Fail. 2019;21:238–46. https://​doi.​org/​10.​1002/​ejhf.​1354. CrossRefPubMed Wagenaar KP, Broekhuizen BDL, Jaarsma T, et al. Effectiveness of the European Society of Cardiology/Heart Failure Association website ‘heartfailurematters.org’ and an e‑health adjusted care pathway in patients with stable heart failure: results of the ‘e-Vita HF’ randomized controlled trial. Eur J Heart Fail. 2019;21:238–46. https://​doi.​org/​10.​1002/​ejhf.​1354. CrossRefPubMed
68.
Zurück zum Zitat Gyimesi M, Fülöp G, Ivansits S, et al. Rehabilitationsplan. Wien: Gesundheit Österreich; 2016. Gyimesi M, Fülöp G, Ivansits S, et al. Rehabilitationsplan. Wien: Gesundheit Österreich; 2016.
78.
Zurück zum Zitat Piotrowicz E, Zieliski T, Bodalski R, et al. Home-based telemonitored Nordic walking training is well accepted, safe, effective and has high adherence among heart failure patients, including those with cardiovascular implantable electronic devices: a randomised controlled study. Eur J Prev Cardiol. 2015;22:1368–77. https://​doi.​org/​10.​1177/​2047487314551537​. CrossRefPubMed Piotrowicz E, Zieliski T, Bodalski R, et al. Home-based telemonitored Nordic walking training is well accepted, safe, effective and has high adherence among heart failure patients, including those with cardiovascular implantable electronic devices: a randomised controlled study. Eur J Prev Cardiol. 2015;22:1368–77. https://​doi.​org/​10.​1177/​2047487314551537​. CrossRefPubMed
85.
Zurück zum Zitat EU Commission. European interoperability framework—implementation strategy, annex 2. COM; 2017. 134 final, Brussels, 23.3.2017. EU Commission. European interoperability framework—implementation strategy, annex 2. COM; 2017. 134 final, Brussels, 23.3.2017.
86.
Zurück zum Zitat EU Commission. Recommendation on a European Electronic Health Record exchange format. Brussels, 2019. (C(2019)800). EU Commission. Recommendation on a European Electronic Health Record exchange format. Brussels, 2019. (C(2019)800).
87.
Zurück zum Zitat EU Commission. Commission Decision 2015/1302 of 28 July 2015 on the identification of ‘Integrating the Healthcare Enterprise’ profiles for referencing in public procurement. Brussels, 2015. EU Commission. Commission Decision 2015/1302 of 28 July 2015 on the identification of ‘Integrating the Healthcare Enterprise’ profiles for referencing in public procurement. Brussels, 2015.
88.
Zurück zum Zitat Sauermann S. Rahmenrichtlinie für die IT-Infrastruktur bei der Anwendung von Telemonitoring. Wien: BMGAS; 2018. Sauermann S. Rahmenrichtlinie für die IT-Infrastruktur bei der Anwendung von Telemonitoring. Wien: BMGAS; 2018.
89.
Zurück zum Zitat IEEE/ISO/CEN 11073. Health informatics—Point-of-care medical device communication. IEEE/ISO/CEN 11073. Health informatics—Point-of-care medical device communication.
Metadaten
Titel
Recommendations on the utilization of telemedicine in cardiology
verfasst von
Michael Gruska
Gerhard Aigner
Johann Altenberger
Dagmar Burkart-Küttner
Lukas Fiedler
Marianne Gwechenberger
Peter Lercher
Martin Martinek
Michael Nürnberg
Gerhard Pölzl
Gerold Porenta
Stefan Sauermann
Christoph Schukro
Daniel Scherr
Clemens Steinwender
Markus Stühlinger
Alexander Teubl
Working Group Rhythmology of the Austrian Cardiological Society
Publikationsdatum
01.12.2020
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 23-24/2020
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-020-01762-2