Analysis of modern practice of remote forms of medical consultations and dispensary observation of patients with ischemic heart disease (literature review)

Abstract


Aim. To describe modern opinions about the role of remote technologies in the dispensary observation of patients with cardiovascular diseases. Materials and methods. The data of 57 scientific sources published in the russian and foreign press in 1984-2018 are considered. Results and conclusion. It is generally recognized that patients with myocardial infarction need cardiac rehabilitation, but the frequency of their participation in its programs remains low due to transport problems, unwillingness to leave home due to anxiety and depression, and to change the mode of the day due to the need for ambulant visits, etc. Modern achievements of telemedicine solve these problems and allow doctors to monitor the status of patients remotely. All types of telemetry devices have some advantages: external cardiomonitoring systems in real time quickly collect and transmit the most complete information without the participation of the patient, standard non-loop and loop recorders are inexpensive and widely available, and adhesive patch recorders are very easy to use and increase compliance. The use of mobile applications and SMS in the framework of remote cardiorehabilitation has not been sufficiently studied, but data on their effectiveness in correcting the behavior of patients have already been collected. Experts have not yet come to a consensus on the effectiveness of complex tele-cardiorehabilitation, including telemetry, telecoaching and teleconsulting, but many studies have shown that it is a worthy alternative to traditional rehabilitation programs, as it has higher rates of attendance.

Full Text

Restricted Access

About the authors

Irina E. Mishina

Ivanovo State Medical Academy of the Ministry of Health of the Russian Federation

8, Sheremetevskii dr., Ivanovo, 153000, Russian Federation
D. Sci. (Med.), Professor, Head of the Department of Hospital Therapy

Anton A. Gudukhin

Ivanovo State Medical Academy of the Ministry of Health of the Russian Federation

8, Sheremetevskii dr., Ivanovo, 153000, Russian Federation
Cand. Sci. (Med.), Associate Professor of the Department

Andrei M. Sarana

Saint Petersburg State University

7/9, Universitetskaia nab., Saint Petersburg, 199034, Russian Federation
Cand. Sci. (Med.), Associate Professor of the Department of Postgraduate Medical Education

Stanislav P. Urazov

City Hospital №40

1, Malaia Sadovaia st., Saint Petersburg, 191011, Russian Federation
Head of the Department of Medical Rehabilitation of Somatic Patients

References

  1. Бокерия Л.А., Cтупаков И.Н., Самородская И.В. и др. Ишемическая болезнь сердца и факторы риска (сравнение показателей в странах Европы, США и России). Грудная и сердечно-сосудистая хирургия. 2007; 4: 6-10.
  2. Рекомендации ЕОК по ведению пациентов с острым инфарктом миокарда с подъемом сегмента ST 2017. Рос. кардиол. журн. 2018; 23 (5): 103-58
  3. Эрлих А.Д. Шестимесячные исходы у пациентов с острым коронарным синдромом, включенных в российский регистр РЕКОРД-3. Рос. кардиол. журн. 2017; 22 (11): 8-14.
  4. Rehabilitation after cardiovascular diseases, with special emphasis on developing countries. A report of a WHO Committee. World Health Organ. Tech Rep Ser 1993; 831: 1-122.
  5. Аронов Д.М., Бубнова М.Г., Барбараш О.Л. и др. Острый инфаркт миокарда с подъемом сегмента ST электрокардиограммы: реабилитация и вторичная профилактика. Российские клинические рекомендации. CardioСоматика. 2014 (Прил к №1): 5-41.
  6. Smith S.C, Benjamin E.J, Bonow R.O et al. AHA/ACCF secondary prevention and risk reduction therapy for patients with coronary and other atherosclerotic vascular disease: 2011 update: a guideline from the American Heart Association and American College of Cardiology Foundation endorsed by the World Heart Federation and the Preventive Cardiovascular Nurses Association. J Am Coll Cardiol 2011; 58 (23): 2432-46. doi: 10.1016/j.jacc.2011.10.824
  7. Leon A.S, Franklin B.A, Costa F et al. Cardiac rehabilitation and secondary prevention of coronary heart disease: an American Heart Association scientific statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity), in collaboration with the American association of Cardiovascular and Pulmonary Rehabilitation. Circulation 2005; 111 (3): 369-76. doi: 10.1161/01.CIR.0000151788.08740.5C
  8. Juocevicius A, Oral A, Lukmann A et al. Evidence-based position paper on Physical and Rehabilitation Medicine (PRM) professional practice for people with cardiovascular conditions. The European PRM position (UEMS PRM Section). Eur J Phys Rehabil Med 2018; 54 (4): 634-43. doi: 10.23736/S1973-9087.18.05310-8
  9. Jolliffe J.A, Rees K, Taylor R.S et al. Exercise-based rehabilitation for coronary heart disease. Cochrane Database Syst Rev 2001; 1: CD001800. doi: 10.1002/14651858.CD001800
  10. Giannuzzi P, Saner H, Björnstad H et al, Working Group on Cardiac Rehabilitation and Exercise Physiology of the European Society of Cardiology. Secondary prevention through cardiac rehabilitation: position paper of the Working Group on Cardiac Rehabilitation and Exercise Physiology of the European Society of Cardiology. Eur Heart J 2003; 24 (13): 1272-8.
  11. Committee on Exercise and Cardiac Rehabilitation of the Council on Clinical Cardiology. Core components of cardiac rehabilitation/secondary prevention programs. A statement for health professionals by the Committee on Exercise and Cardiac Rehabilitation of the Council on Clinical Cardiology. Circulation 2000; 102: 1069-73.
  12. Taylor R.S., Brown A, Ebrahim S et al. Exercise-based rehabilitation for patients with coronary heart disease: systematic review and meta-analysis of randomized controlled trials. Am J Med 2004; 116 (10): 682-92. doi: 10.1016/j.amjmed.2004.01.009
  13. Neubeck L, Lowres N, Benjamin E.J et al. The mobile revolution - using smartphone apps to prevent cardiovascular disease. Nat Rev Cardiol 2015; 12 (6): 350-60. doi: 10.1038/nrcardio.2015.34
  14. Иванова Г.Е. Медицинская реабилитация в России. Перспективы развития. Consilium Medicum. 2016; 18 (2.1): 9-13.
  15. Bjarnason-Wehrens B, McGee H, Zwisler A.D et al, Cardiac Rehabilitation Section European Association of Cardiovascular Prevention and Rehabilitation. Cardiac rehabilitation in Europe: results from the European Cardiac Rehabilitation Inventory Survey. Eur J Cardiovasc Prev Rehabil 2010; 17 (4): 410-8. doi: 10.1097/HJR.0b013e328334f42d
  16. Conraads V.M, Deaton C, Piotrowicz E et al. Adherence of heart failure patients to exercise: barriers and possible solutions: a position statement of the Study Group on Exercise Training in Heart Failure of the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail 2012; 14 (5): 451-8. doi: 10.1093/eurjhf/hfs048
  17. Piotrowicz E. How to do: telerehabilitation in heart failure patients. Cardiol J 2012; 19 (3): 243-8.
  18. Shaw D.K, Heggestad-Hereford J.R, Southard D.R, Sparks K.E. American Association of Cardiovascular and Pulmonary Rehabilitation telemedicine position statement. J Cardiopulm Rehabil 2001; 21: 261-2.
  19. Burke L.E, Ma J, Azar K.M et al. Current science on consumer use of mobile health for cardiovascular disease prevention a scientific statement from the American Heart Association. Circulation 2015; 132 (12): 1157-213. doi: 10.1161/CIR.0000000000000232
  20. Smart N, Haluska B, Jeffriess L, Marwick T.H. Predictors of sustained response to exercise training in patients with chronic heart failure: a telemonitoring study. Am Heart J 2005; 150 (6): 1240-7. doi: 10.1016/j.ahj.2005.01.035
  21. Fletcher G.F, Chiaramida A.J, LeMay M.R et al. Telephonically-monitored home exercise early after coronary artery bypass surgery. Chest 1984; 86 (2): 198-202.
  22. Piotrowicz E, Piepoli M.F, Jaarsma T et al. Telerehabilitation in heart failure patients: the evidence and the pitfalls. Int J Cardiol 2016; 220: 408-13. doi: 10.1016/j.ijcard.2016.06.277
  23. Crawford M.H, Bernstein S.J, Deedwania P.C et al. ACC/AHA guidelines for ambulatory electrocardiography: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the Guidelines for Ambulatory Electrocardiography). Developed in collaboration with the North American Society for Pacing and Electrophysiology. J Am Coll Cardiol 1999; 34 (3): 912-48.
  24. Kadish .H., Buxton A.E, Kennedy H.L et al. ACC/AHA clinical competence statement on electrocardiography and ambulatory electrocardiography. A report of the ACC/AHA/ACP-ASIM Task force on clinical competence (ACC/AHA Committee to develop a clinical competence statement on electrocardiography and ambulatory electrocardiography) endorsed by the International Society for Holter and noninvasive electrocardiology. J Am Circulation 2001; 104 (25): 3169-78.
  25. Lobodzinski S.S. ECG patch monitors for assessment of cardiac rhythm abnormalities. Prog Cardiovasc Dis 2013; 56 (2): 224-9. doi: 10.1016/j.pcad.2013.08.006
  26. Lobodzinski S.S, Laks M.M. New devices for very long-term ECG monitoring. Cardiol J 2012; 19 (2): 210-4.
  27. Rosenberg M.A, Samuel M, Thosani A, Zimetbaum PJ. Use of a noninvasive continuous monitoring device in the management of atrial fibrillation: a pilot study. Pacing Clin Electrophysiol 2013; 36 (3): 328-33. doi: 10.1111/pace.12053
  28. Turakhia M.P, Hoang D.D, Zimetbaum P et al. Diagnostic utility of a novel leadless arrhythmia monitoring device. Am J Cardiol 2013; 112 (4): 520-4. doi: 10.1016/j.amjcard.2013.04.017
  29. Ajami S, Teimouri F. Features and application of wearable biosensors in medical care. J Res Med Sci 2015; 20 (12): 1208-15. doi: 10.4103/1735-1995.172991
  30. Lobodzinski S.S, Laks M.M. Comfortable textile-based electrocardiogram systems for very long-term monitoring. Cardiol J 2008; 15 (5): 477-80.
  31. Perez de Isla L, Lennie V, Quezada M et al. New generation dynamic, wireless and remote cardiac monitorization platform: a feasibility study. Int J Cardiol 2011; 153 (1): 83-5. doi: 10.1016/j.ijcard.2011.08.074
  32. Task Force members, Brignole M, Vardas P, Hoffman E et al; Document Reviewers, Lip GY, Almendral J, Kirchhof P, Botto GL; EHRA Scientific Documents Committee. Indications for the use of diagnostic implantable and external ECG loop recorders. Europace 2009; 11 (5): 671-87. doi: 10.1093/europace/eup097
  33. Locati E.T, Moya A, Oliveira M et al. External prolonged electrocardiogram monitoring in unexplained syncope and palpitations: results of the SYNARR-Flash study. Europace 2016; 18 (8): 1265-72. doi: 10.1093/europace/euv311
  34. Haberman Z.C, Jahn R.T, Bose R et al. Wireless smartphone ECG enables large-scale screening in diverse populations. J Cardiovasc Electrophysiol 2015; 26 (5): 520-6. doi: 10.1111/jce.12634
  35. Rothman S.A, Laughlin J.C, Seltzer J et al. The diagnosis of cardiac arrhythmias: a prospective multicenter randomized study comparing mobile cardiac outpatient telemetry versus standard loop event monitoring. J Cardiovasc Electrophysiol 2007; 18 (3): 241-7.
  36. Tsang J.P, Mohan S. Benefits of monitoring patients with mobile cardiac telemetry (MCT) compared with the Event or Holter monitors. Med Devices (Auckl) 2013; 7: 1-5. doi: 10.2147/MDER.S54038
  37. Papouchado M, Walker R, James M.A, Clarke L.M. Fundamental differences between the standard 12-lead electrocardiograph and the modified (Mason-Likar) exercise lead system. Eur Heart J 1987; 8 (7): 725-33.
  38. Steinberg J.S, Varma N, Cygankiewicz I et al. Согласованное заключение экспертов ISHNE-HRS 2017 по амбулаторному мониторированию ЭКГ и наружному мониторированию деятельности сердца/телеметрии. Кардиология: новости, мнения, обучение. 2018; 1: 16-64.
  39. Piette J.D, List J, Rana G.K et al. Mobile health devices as tools for worldwide cardiovascular risk reduction and disease management. Circulation 2015; 132 (21): 2012-27. doi: 10.1161/CIRCULATIONAHA.114.008723
  40. Курдгелия Т.М., Бокерия О.Л. Мобильные технологии в кардиологии. Современная наука: актуальные проблемы теории и практики. Сер.: Естественные и технические науки. 2016; 11: 85-92.
  41. Widmer R.J, Allison T.G, Lerman L.O, Lerman A. Digital health intervention as an adjunct to cardiac rehabilitation reduces cardiovascular risk factors and rehospitalizations. J Cardiovasc Transl Res 2015; 8 (5): 283-92. doi: 10.1007/s12265-015-9629-1
  42. Piotrowicz E, Baranowski R, Bilinska M et al. A new model of home-based telemonitored cardiac rehabilitation in patients with heart failure: effectiveness, quality of life, and adherence. Eur J Heart Fail 2010; 12 (2): 164-71. doi: 10.1093/eurjhf/hfp181
  43. Wootton R. Twenty years of medicine in chronic disease management - an evidence synthesis. J Telemed Telecare 2012; 18 (4): 211-20. doi: 10.1258/jtt.2012.120219
  44. Piotrowicz E, Korzeniowska-Kubacka I, Chrapowicka A et al. Feasibility of home-based cardiac telerehabilitation: results of TeleInterMed study. Cardiol J 2014; 21 (5): 539-46. doi: 10.5603/CJ.a2014.0005
  45. Hwang R, Bruning J, Morris N.R et al. Home-based telerehabilitation is not inferior to a centre-based program in patients with chronic heart failure: a randomised trial. J Physiother 2017; 63 (2): 101-7. doi: 10.1016/j.jphys.2017.02.017
  46. Frederix I, Hansen D, Coninx K et al. Medium-term effectiveness of a comprehensive internet-based and patient-specific telerehabilitation program with text messaging support for cardiac patients: randomized controlled trial. J Med Internet Res 2015; 17 (7): e185. doi: 10.2196/jmir.4799
  47. Inglis S.C, Clark R.A, McAlister F.A et al. Which components of heart failure programmes are effective? A systematic review and meta-analysis of the outcomes of structured telephone support or telemonitoring as the primary component of chronic heart failure management in 8323 patients: Abridged Cochrane Review. Eur J Heart Fail 2011; 13 (9): 1028-40. doi: 10.1093/eurjhf/hfr039
  48. Chaudhry S.I, Mattera J.A, Curtis J.P et al. Telemonitoring in patients with heart failure. N Engl J Med 2010; 363 (24): 2301-9. doi: 10.1056/NEJMoa1010029
  49. Koehler F, Winkler S, Schieber M et al, Telemedical Interventional Monitoring in Heart Failure Investigators. Impact of remote telemedical management on mortality and hospitalizations in ambulatory patients with chronic heart failure: the telemedical interventional monitoring in heart failure study. Circulation 2011; 123 (17): 1873-80. doi: 10.1161/CIRCULATIONAHA.111.018473
  50. Chan C, Yamabayashi C, Syed N et al. Exercise telemonitoring and telerehabilitation compared with traditional cardiac and pulmonary rehabilitation: a systematic review and meta-analysis. Physiother Can 2016; 68 (3): 242-51. doi: 10.3138/ptc.2015-33
  51. Shaw D.K, Sparks K.E, Jennings H.S. 3rd. Transtelephonic exercise monitoring: a review. J Cardiopulm Rehabil 1998; 18 (4): 263-70.
  52. Zutz A, Ignaszewski A, Bates J, Lear S.A. Utilization of the internet to deliver cardiac rehabilitation at a distance: a pilot study. Telemed J E Health 2007; 13 (3): 323-30. doi: 10.1089/tmj.2006.0051
  53. Piotrowicz E, Piotrowicz R. Cardiac telerehabilitation: current situation and future challenges. Eur J Prev Cardiol 2013; 20 (2 Suppl.): 12-6. doi: 10.1177/2047487313487483c
  54. Varma N, Epstein A.E, Irimpen A et al. Efficacy and safety of automatic remote monitoring for implantable cardioverter-defibrillator follow-up: the Lumos-Tsafely reduces routine office device follow-up (TRUST) trial. Circulation 2010; 122 (4): 325-32. doi: 10.1161/CIRCULATIONAHA.110.937409
  55. Slotwiner D, Varma N, Akar J.G et al. Совместное экспертное заключение Американского общества сердечного ритма (HRS) по удаленной телеметрии и мониторингу сердечно-сосудистых имплантируемых электронных устройств. Вестн. аритмологии. 2015; 82: 43-72.
  56. Попылькова О.В., Дурманов С.С., Базылев В.В. Опыт работы сети «сателлитных клиник» в системе удаленного мониторинга пациентов с имплантированными кардиовертерами-дефибрилляторами. Анналы аритмологии. 2016; 13 (3): 183-8.
  57. Лямина Н.П., Котельникова Е.В. Мобильные технологии как инструмент интеграции программ кардиологической реабилитации в систему динамического наблюдения пациентов с хронической сердечной недостаточностью. Вестн. восстановит. медицины. 2017; 5: 25-32.

Statistics

Views

Abstract - 8

PDF (Russian) - 0

Cited-By


Article Metrics

Metrics Loading ...

PlumX

Dimensions

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies