Abstract
Telemedicine applied to heart failure patients is a tool for recording, remote transmission, storage and interpretation of cardiocirculatory parameters and/or diagnostic images, useful, as emphasized by the latest guidelines, to allow for intensive home monitoring in patients with advanced heart failure or during the vulnerable post-acute phase to improve the prognosis and quality of life for patients. Recently, several meta-analyses have shown that the patterns of care supported by telemedicine are not only effective, but also economically advantageous. The benefit is unquestionable with a 30-35% reduction in mortality and a 15-20% reduction in hospitalizations. Patients implanted with cardiac devices can also benefit from an integrated remote clinical management as all modern devices can transmit technical and diagnostic data. However, telemedicine can bring benefits to the patient with heart failure only if it is part of a shared and integrated, multidisciplinary and multiprofessional "Chronic Care Model". Moreover, the future development of remote telemonitoring programs in our country goes through the primary use of products certified as medical device, field validation of organizational solutions proposed, a legislative and administrative adaptation to new care methods and the widespread growth of competence in clinical care to remotely manage the complexity of chronicity. With this consensus document the Italian Cardiology reaffirms its willingness to contribute to the government of the tumultuous and fragmented technological development, proposing a new phase of qualitative assessment, standardization of processes and testing the application of telemedicine to heart failure.
| Original language | Italian |
|---|---|
| Pages (from-to) | 491-507 |
| Number of pages | 17 |
| Journal | Giornale Italiano di Cardiologia |
| Volume | 17 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - Jun 1 2016 |
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
Cite this
Documento di consenso ANMCO/SIC/SIT : Il futuro della telemedicina nello scompenso cardiaco. / Di Lenarda, Andrea; Casolo, Giancarlo; Gulizia, Michele Massimo; Aspromonte, Nadia; Scalvini, Simonetta; Mortara, Andrea; Alunni, Gianfranco; Ricci, Renato Pietro; Mantovan, Roberto; Russo, Giancarmine; Gensini, Gian Franco; Romeo, Francesco.
In: Giornale Italiano di Cardiologia, Vol. 17, No. 6, 01.06.2016, p. 491-507.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Documento di consenso ANMCO/SIC/SIT
T2 - Il futuro della telemedicina nello scompenso cardiaco
AU - Di Lenarda, Andrea
AU - Casolo, Giancarlo
AU - Gulizia, Michele Massimo
AU - Aspromonte, Nadia
AU - Scalvini, Simonetta
AU - Mortara, Andrea
AU - Alunni, Gianfranco
AU - Ricci, Renato Pietro
AU - Mantovan, Roberto
AU - Russo, Giancarmine
AU - Gensini, Gian Franco
AU - Romeo, Francesco
PY - 2016/6/1
Y1 - 2016/6/1
N2 - Telemedicine applied to heart failure patients is a tool for recording, remote transmission, storage and interpretation of cardiocirculatory parameters and/or diagnostic images, useful, as emphasized by the latest guidelines, to allow for intensive home monitoring in patients with advanced heart failure or during the vulnerable post-acute phase to improve the prognosis and quality of life for patients. Recently, several meta-analyses have shown that the patterns of care supported by telemedicine are not only effective, but also economically advantageous. The benefit is unquestionable with a 30-35% reduction in mortality and a 15-20% reduction in hospitalizations. Patients implanted with cardiac devices can also benefit from an integrated remote clinical management as all modern devices can transmit technical and diagnostic data. However, telemedicine can bring benefits to the patient with heart failure only if it is part of a shared and integrated, multidisciplinary and multiprofessional "Chronic Care Model". Moreover, the future development of remote telemonitoring programs in our country goes through the primary use of products certified as medical device, field validation of organizational solutions proposed, a legislative and administrative adaptation to new care methods and the widespread growth of competence in clinical care to remotely manage the complexity of chronicity. With this consensus document the Italian Cardiology reaffirms its willingness to contribute to the government of the tumultuous and fragmented technological development, proposing a new phase of qualitative assessment, standardization of processes and testing the application of telemedicine to heart failure.
AB - Telemedicine applied to heart failure patients is a tool for recording, remote transmission, storage and interpretation of cardiocirculatory parameters and/or diagnostic images, useful, as emphasized by the latest guidelines, to allow for intensive home monitoring in patients with advanced heart failure or during the vulnerable post-acute phase to improve the prognosis and quality of life for patients. Recently, several meta-analyses have shown that the patterns of care supported by telemedicine are not only effective, but also economically advantageous. The benefit is unquestionable with a 30-35% reduction in mortality and a 15-20% reduction in hospitalizations. Patients implanted with cardiac devices can also benefit from an integrated remote clinical management as all modern devices can transmit technical and diagnostic data. However, telemedicine can bring benefits to the patient with heart failure only if it is part of a shared and integrated, multidisciplinary and multiprofessional "Chronic Care Model". Moreover, the future development of remote telemonitoring programs in our country goes through the primary use of products certified as medical device, field validation of organizational solutions proposed, a legislative and administrative adaptation to new care methods and the widespread growth of competence in clinical care to remotely manage the complexity of chronicity. With this consensus document the Italian Cardiology reaffirms its willingness to contribute to the government of the tumultuous and fragmented technological development, proposing a new phase of qualitative assessment, standardization of processes and testing the application of telemedicine to heart failure.
KW - E-health
KW - Heart failure
KW - Implantable devices
KW - Remote telemonitoring
KW - Telemedicine
UR - http://www.scopus.com/inward/record.url?scp=84978938073&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84978938073&partnerID=8YFLogxK
U2 - 10.1714/2262.24354
DO - 10.1714/2262.24354
M3 - Articolo
C2 - 27311090
AN - SCOPUS:84978938073
VL - 17
SP - 491
EP - 507
JO - Giornale Italiano di Cardiologia
JF - Giornale Italiano di Cardiologia
SN - 1827-6806
IS - 6
ER -