2019 Italian Society of Cardiology Census on telemedicine in cardiovascular disease: a report from the working group on telecardiology and informatics

Brunetti, Natale Daniele; Molinari, Giulia; Acquistapace, Flavio; Zimotti, Tecla; Parati, Gianfranco; Indolfi, Ciro; Fedele, Francesco; Carugo, Stefano

doi:10.1136/openhrt-2019-001157

Cited by 13 publications

(16 citation statements)

References 25 publications

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“…Notably, non-invasive telemonitoring in patients with heart failure reduces all-cause mortality and number of hospitalizations, as well as improves the quality of life ( 19 ). In February 2020, the Italian Society of Cardiology published data on the implementation of telemedicine in CVD patients and reported crucial involvement of telemedicine in the prehospital triage for ST-elevated myocardial infarction (STEMI) cases and remote monitoring by primary care physicians ( 20 ). An American Heart Association (AHA) statement emphasized the role of telemedicine in pediatric cardiology through advanced video technologies like tele-echocardiography, fetal echocardiography in prenatal diagnosis, screening for congenital heart diseases, and confirmatory echo tests, external rhythm monitoring, catheterization laboratory, and personal tele-electrophysiology ( 21 ).…”

Section: Telemedicine In Emergency Cases and Triagementioning

confidence: 99%

Telemedicine as the New Outpatient Clinic Gone Digital: Position Paper From the Pandemic Health System REsilience PROGRAM (REPROGRAM) International Consortium (Part 2)

Bhaskar¹,

Bradley

Chattu

et al. 2020

Front. Public Health

122

120

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Technology has acted as a great enabler of patient continuity through remote consultation, ongoing monitoring, and patient education using telephone and videoconferencing in the coronavirus disease 2019 (COVID-19) era. The devastating impact of COVID-19 is bound to prevail beyond its current reign. The vulnerable sections of our community, including the elderly, those from lower socioeconomic backgrounds, those with multiple comorbidities, and immunocompromised patients, endure a relatively higher burden of a pandemic such as COVID-19. The rapid adoption of different technologies across countries, driven by the need to provide continued medical care in the era of social distancing, has catalyzed the penetration of telemedicine. Limiting the exposure of patients, healthcare workers, and systems is critical in controlling the viral spread. Telemedicine offers an opportunity to improve health systems delivery, access, and efficiency. This article critically examines the current telemedicine landscape and challenges in its adoption, toward remote/tele-delivery of care, across various medical specialties. The current consortium provides a roadmap and/or framework, along with recommendations, for telemedicine uptake and implementation in clinical practice during and beyond COVID-19.

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Section: Telemedicine In Emergency Cases and Triagementioning

confidence: 99%

Telemedicine as the New Outpatient Clinic Gone Digital: Position Paper From the Pandemic Health System REsilience PROGRAM (REPROGRAM) International Consortium (Part 2)

Bhaskar¹,

Bradley

Chattu

et al. 2020

Front. Public Health

122

120

View full text Add to dashboard Cite

show abstract

“…Telemedicine support is currently widely implemented in clinical practice for the management of cardiovascular disease, both in acute and chronic conditions [ 3 , 4 ]. Hospital networks for the treatment of ST-elevation acute myocardial infarction (STEMI) are currently based on telemedicine support and remote telemedicine triage with pre-hospital electrocardiogram [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of 2020 SARS-CoV-2 outbreak on telemedicine management of cardiovascular disease in Italy

et al. 2020

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The Covid-19 pandemic affected large part of Italy since February 2020; we, therefore, aimed to assess the impact of 2020 SARS-CoV-2 outbreak on telemedicine management of cardiovascular disease (CVD) in Italy. We analyzed data from three telemedicine dispatch centers, one located in Genoa, serving private clients (pharmacies, general practitioners), one in Brescia, serving pharmacies, and one in Bari, serving regional public STEMI network and emergency medical service in Apulia (4 million inhabitants). Demographic data and principal electrocardiogram diagnosis were collected and analyzed. Records from the time interval March 1, 2020 and April 1, 2020 were compared with the corresponding period in 2019. The comparative analysis of data shows a 54% reduction of telemedicine electrocardiogram transmission in Genoa telemedicine center (from 364 to 166), 68% in Brescia (from 5.745 to 1.905), 24% in Bari (from 15.825 to 11.716); relative reduction according to electrocardiogram diagnosis was 38% for acute coronary syndrome, 40% for other acute CVD in Genoa center, 24% for acute coronary syndrome, and 38% for other acute CVD in Bari. Male/female ratio remained substantially unchanged. A dramatic reduction of telemedicine access for CVD was observed during Covid-19 outbreak in March 2020 in Italy. The reduction was substantially consistent for all electrocardiogram findings, ACS, other acute CVD and normal.

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“…In a survey conducted in Italy, telemedicine was used in 84% of pre-hospital ECG analyses. Remote control of ICD/CRT-D was performed in 42% of cases, and HF patient monitoring in 37% of cases [64]. In another Italian survey there was a marked increase in the use of telemonitoring between 2012 and 2017 (in terms of number of patients per center) [65].…”

Section: Practical Benefitsmentioning

confidence: 99%

Telemedicine in Cardiology: Modern Technologies to Improve Cardiovascular Patients’ Outcomes—A Narrative Review

et al. 2022

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The registration of physical signals has long been an important part of cardiological diagnostics. Current technology makes it possible to send large amounts of data to remote locations. Solutions that enable diagnosis and treatment without direct contact with patients are of enormous value, especially during the COVID-19 outbreak, as the elderly require special protection. The most important examples of telemonitoring in cardiology include the use of implanted devices such as pacemakers and defibrillators, as well as wearable sensors and data processing units. The arrythmia detection and monitoring patients with heart failure are the best studied in the clinical setting, although in many instances we still lack clear evidence of benefits of remote approaches vs. standard care. Monitoring for ischemia is less well studied. It is clear however that the economic and organizational gains of telemonitoring for healthcare systems are substantial. Both patients and healthcare professionals have expressed an enormous demand for the further development of such technologies. In addition to these subjects, in this paper we also describe the safety concerns associated with transmitting and storing potentially sensitive personal data.

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2019 Italian Society of Cardiology Census on telemedicine in cardiovascular disease: a report from the working group on telecardiology and informatics

Cited by 13 publications

References 25 publications

Telemedicine as the New Outpatient Clinic Gone Digital: Position Paper From the Pandemic Health System REsilience PROGRAM (REPROGRAM) International Consortium (Part 2)

Telemedicine as the New Outpatient Clinic Gone Digital: Position Paper From the Pandemic Health System REsilience PROGRAM (REPROGRAM) International Consortium (Part 2)

Impact of 2020 SARS-CoV-2 outbreak on telemedicine management of cardiovascular disease in Italy

Telemedicine in Cardiology: Modern Technologies to Improve Cardiovascular Patients’ Outcomes—A Narrative Review

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