New developments in adult congenital heart disease

Bouma, Berto J.; Sieswerda, Gertjan T.; Post, Marco C.; Ebels, Tjark; Kimmenade, Roland R.J. van; Winter, Robbert J. de; Mulder, Barbara J.M.

doi:10.1007/s12471-020-01455-5

Cited by 7 publications

(2 citation statements)

References 40 publications

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“…Although the transmission of auscultation findings characterized the initial phase of digital cardiology, telemedicine specialist–guided ultrasound examinations dominate the field today [ 132 , 135 , 136 ]. This ensures high-level diagnostics regardless of the location, and, at the same time, training is provided to physicians who have less experience with relevant clinical pictures [ 137 , 138 ]. These modern approaches can not only reduce severe disease progression with long hospital stays by about 50% but also facilitate the early detection of cardiac defects, allowing significant cost savings [ 139 ].…”

Section: Resultsmentioning

confidence: 99%

Digital Transformation in the Diagnostics and Therapy of Cardiovascular Diseases: Comprehensive Literature Review

Stremmel¹,

Breitschwerdt²

2023

JMIR Cardio

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Background The digital transformation of our health care system has experienced a clear shift in the last few years due to political, medical, and technical innovations and reorganization. In particular, the cardiovascular field has undergone a significant change, with new broad perspectives in terms of optimized treatment strategies for patients nowadays. Objective After a short historical introduction, this comprehensive literature review aimed to provide a detailed overview of the scientific evidence regarding digitalization in the diagnostics and therapy of cardiovascular diseases (CVDs). Methods We performed an extensive literature search of the PubMed database and included all related articles that were published as of March 2022. Of the 3021 studies identified, 1639 (54.25%) studies were selected for a structured analysis and presentation (original articles: n=1273, 77.67%; reviews or comments: n=366, 22.33%). In addition to studies on CVDs in general, 829 studies could be assigned to a specific CVD with a diagnostic and therapeutic approach. For data presentation, all 829 publications were grouped into 6 categories of CVDs. Results Evidence-based innovations in the cardiovascular field cover a wide medical spectrum, starting from the diagnosis of congenital heart diseases or arrhythmias and overoptimized workflows in the emergency care setting of acute myocardial infarction to telemedical care for patients having chronic diseases such as heart failure, coronary artery disease, or hypertension. The use of smartphones and wearables as well as the integration of artificial intelligence provides important tools for location-independent medical care and the prevention of adverse events. Conclusions Digital transformation has opened up multiple new perspectives in the cardiovascular field, with rapidly expanding scientific evidence. Beyond important improvements in terms of patient care, these innovations are also capable of reducing costs for our health care system. In the next few years, digital transformation will continue to revolutionize the field of cardiovascular medicine and broaden our medical and scientific horizons.

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Section: Resultsmentioning

confidence: 99%

Digital Transformation in the Diagnostics and Therapy of Cardiovascular Diseases: Comprehensive Literature Review

Stremmel¹,

Breitschwerdt²

2023

JMIR Cardio

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“…Since adult patients with CHD have many comorbidities, it is natural that the medical burden they occupy in the medical field increases. 8,9) In the early 2000s, the number of patients with grown up CHD (GUCH) in Europe began to exceed that of pediatric CHD patients. 10) Since 2015, adults have accounted for more than 2/3 of all CHD patients.…”

Section: Increasing Chd Population and Medical Burdenmentioning

confidence: 99%

Environmental changes surrounding congenital heart disease

Choi¹

2023

Clin Exp Pediatr

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As the outcomes of patients with congenital heart disease (CHD) improve, the number of patients is accumulating and the proportion of adult CHD patients is gradually increasing.Accordingly, the proportion of typical adult diseases such as coronary arterial disease, diabetes, dyslipidemia, and hypertension among patients with CHD is increasing, as is the medical burden due to residual cardiac problems, heart failure, and arrhythmias. Due to increasing genetic knowledge, efforts are being made to provide active medical support through risk stratification. Surgical techniques and prostheses are also developing, the instruments used for transcatheter intervention are diversifying, and the range of therapeutic options is expanding. In addition, owing to the development of electronic devices, heart rhythm and blood pressure monitoring instruments have been miniaturized and diversified. In this process, a vast amount of information is collected; therefore, the current systematic review examined their clinical usefulness. A team approach consisting of experts from various fields is essential for the treatment of patients with CHD and advanced heart failure.

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Stroke prevention in patients with atrial fibrillation and comorbidities: evidence and common sense

Groot

2020

Neth Heart J

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New developments in adult congenital heart disease

Cited by 7 publications

References 40 publications

Digital Transformation in the Diagnostics and Therapy of Cardiovascular Diseases: Comprehensive Literature Review

Digital Transformation in the Diagnostics and Therapy of Cardiovascular Diseases: Comprehensive Literature Review

Environmental changes surrounding congenital heart disease

Stroke prevention in patients with atrial fibrillation and comorbidities: evidence and common sense

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