Published in:
Open Access
01-01-2008 | Perspectives
Telecardiology and Remote Monitoring of Implanted Electrical Devices: The Potential for Fresh Clinical Care Perspectives
Authors:
Giuseppe Boriani, MD, PhD, Igor Diemberger, MD, Cristian Martignani, MD, PhD, Mauro Biffi, MD, Cinzia Valzania, MD, Matteo Bertini, MD, Giulia Domenichini, MD, Davide Saporito, MD, Matteo Ziacchi, MD, Angelo Branzi, MD
Published in:
Journal of General Internal Medicine
|
Special Issue 1/2008
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Abstract
Telecardiology may help confront the growing burden of monitoring the reliability of implantable defibrillators/pacemakers. Herein, we suggest that the evolving capabilities of implanted devices to monitor patients’ status (heart rhythm, fluid overload, right ventricular pressure, oximetry, etc.) may imply a shift from strictly device-centered follow-up to perspectives centered on the patient (and patient-device interactions). Such approaches could provide improvements in health care delivery and clinical outcomes, especially in the field of heart failure. Major professional, policy, and ethical issues will have to be overcome to enable real-world implementation. This challenge may be relevant for the evolution of our health care systems.