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Review
. 2008 Jan;23 Suppl 1(Suppl 1):73-7.
doi: 10.1007/s11606-007-0355-5.

Telecardiology and remote monitoring of implanted electrical devices: the potential for fresh clinical care perspectives

Giuseppe Boriani  1 , Igor Diemberger, Cristian Martignani, Mauro Biffi, Cinzia Valzania, Matteo Bertini, Giulia Domenichini, Davide Saporito, Matteo Ziacchi, Angelo Branzi
Affiliations
Review

Telecardiology and remote monitoring of implanted electrical devices: the potential for fresh clinical care perspectives

Giuseppe Boriani et al. J Gen Intern Med. 2008 Jan.

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.

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