"Telecardiology in heart failure"
Identyfikator Librowy: 249344
Spis treści
Introduction to telecardiology 14
Heart failure – a 21st century epidemic 20
Definition of eHealth and the telemonitoring process 24
3.1. Introduction 24
3.2. eHealth and telemedicine – defi nitions 24
3.3. Types of telemedicine services 27
3.4. eHealth in heart failure 29
3.5. Polish experience gained from the TELEREH-HF project 30
3.6. Summary 31
E-education and self-monitoring 32
4.1. Mobile applications 32
4.2. Websites 35
4.3. Summary 39
Telephone support and telemonitoring of patients with heart failure 42
5.1. Introduction 42
5.2. Telephone support and telemonitoring in heart failure 42
5.3. “Doc-to-Doc” telecardiology 43
5.4. “Doc-to-Patient” telecardiology 43
5.5. Practical implementation 44
5.6. Data from published studies 45
5.7. The TELEREH-HF randomized clinical trial 49
5.8. Summary 49
Non-invasive methods of haemodynamic monitoring 54
6.1. Introduction 54
6.2. Impedance cardiography 54
6.3. Lung impedance 56
6.4. Electromagnetic technologies 58
6.5. Spectroscopy, electrical bioimpedance 61
6.6. Summary 62
Remote monitoring of therapeutic implantable devices 66
7.1. Defi nition 66
7.2. Description of the method 66
7.3. Recommendations 67
7.4. Evaluated parameters 67
7.5. A review of clinical trials of telemonitoring 71
7.6. Development of telemonitoring in Poland 76
7.7. Innovations in telemonitoring of cardiac implantable devices 76
7.8. Summary 77
Remote monitoring of implantable haemodynamic devices 80
8.1. Introduction 80
8.2. Monitoring of right ventricular systolic pressure and pulmonary arterial diastolic pressure 81
8.3. Pulmonary artery pressure monitoring 83
8.4. Left atrial pressure monitoring 85
8.5. Left ventricular assist devices and biventricular assist devices 87
8.6. Summary 89
Hybrid cardiac telerehabilitation 92
9.1. Introduction 92
9.2. Remote exercise monitoring 93
9.3. Effectiveness of cardiac telerehabilitation 95
9.4. Hybrid cardiac telerehabilitation — technology and organisation 97
9.5. Benefi ts and limitations of hybrid cardiac telerehabilitation 100
9.6. Hybrid cardiac telerehabilitation within the TELEREH-HF project 101
9.7. Summary 101
Remote psychological support for patients with heart failure 104
10.1. Main psychological problems and quality of life in people with heart failure – key definitions 104
10.2. Psychological interventions in the treatment of heart failure 106
10.3. Psychological assistance with modern forms of communication 107
10.4. The influence of telecare on the psychological functioning of patients with heart failure 110
10.5. Psychological support from other medical staff members 113
10.6. Summary 116
New possibilities for monitoring of patients with heart failure 120
11.1. Remote monitoring of pharmacotherapy 120
11.2. Varia 124
11.3. Summary 131
Benefits and limitations of telemedicine in patients with heart failure 134
12.1. Introduction 134
12.2. Benefi ts and limitations 134
12.3. Digitisation of health protection and organisation 137
12.4. Summary 139
Postscript, i.e. telemedicine in comprehensive, coordinated care for patients with heart failure in Poland 142
Index 152