title: Telecardiology and remote monitoring of implanted electrical devices: the potential for fresh clinical care perspectives.
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.
authors: Institute of Cardiology, University of Bologna, Bologna, Italy. giuseppe.boriani@unibo.it
authors: Giuseppe
authors: G
authors: Boriani
authors: Igor
authors: I
authors: Diemberger
authors: Cristian
authors: C
authors: Martignani
authors: Mauro
authors: M
authors: Biffi
authors: Cinzia
authors: C
authors: Valzania
authors: Matteo
authors: M
authors: Bertini
authors: Giulia
authors: G
authors: Domenichini
authors: Davide
authors: D
authors: Saporito
authors: Matteo
authors: M
authors: Ziacchi
authors: Angelo
authors: A
authors: Branzi
mesh_terms: D002309:Cardiology / Q000379:methods; D017147:Defibrillators, Implantable; D005260:Female; D006333:Heart Failure / Q000628:therapy*; D006801:Humans; D007558:Italy; D008297:Male; D008991:Monitoring, Physiologic / Q000379:methods; D017063:Outcome Assessment, Health Care; D010138:Pacemaker, Artificial; D019114:Remote Consultation / Q000379:methods*; D012680:Sensitivity and Specificity; D013686:Telemetry / Q000379:methods*