Организация здравоохранения
REMOTE MONITORING OF PATIENTS WITH INTRACARDIAC DEVICES - STAGES OF IMPLEMENTATION, RATIONALE AND CHALLENGES OF THE METHOD (REVIEW)
E.S. Tarasyuk1, M.A. Murashko2, Y.V. Vakhnenko3
1. Amur Regional Clinical Hospital of the Ministry of Health of the Amur Region, Blagoveshchensk
2. Ministry of Health of the Russian Federation, Moscow
3. FGBOU VO Amur State Medical Academy of the Ministry of Health of the Russian Federation, Blagoveshchensk
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Summary:
Relevance. According to Rosstat, mortality of Russians from cardiovascular pathology in 2023 amounted to 814,381 people. At the same time, more than 100 thousand people died from severe heart rhythm disorders. Electronic intracardiac devices (EID) help prevent fatal outcomes of arrhythmias, the implantation of which is rapidly increasing year by year. In addition to advantages, these devices also have problematic aspects, therefore patients with EID should be observed by a doctor 2-4 times a year. The total duration of appointments for this entire cohort of patients over 12 months in hours is very large. Today there is already an effective alternative to in-person appointments - remote monitoring, the capabilities of which are described in this article.
Objective. Review of research results on the role of telemedicine tools in monitoring patients with implanted intracardiac devices, about the possibilities, problems and prospects of remote monitoring of the cardiovascular system condition in this category of patients.
Materials and methods. For the analysis, a search of domestic and foreign works was conducted in the databases Elibrary, CyberLeninka, PubMed, MEDLINE, Cochrane Library using the keywords: implantable intracardiac devices, arrhythmias, remote ECG monitoring, telemedicine. Most articles were dated 2014-2024.
Results. Analysis of scientific articles by domestic and foreign authors devoted to the application issues of one of the modern telemedicine tools - remote monitoring of the cardiovascular system condition in patients with implanted intracardiac devices - confirmed the relevance, effectiveness and safety of the method for this cohort of patients, as well as economic benefits for them and medical institutions.
Conclusion. Long-term remote monitoring of the operation of electronic intracardiac devices and the condition of patients' cardiovascular systems allows them to stay in contact with doctors after hospital discharge without leaving home, sending scheduled or emergency notifications to the medical institution and receiving response recommendations. This timely prevents deterioration of patients' condition and optimizes doctors' work. Moreover, remote monitoring of this patient category brings economic benefits to healthcare institutions and patients. Its positive prospects are highly appreciated worldwide.
Keywords implantable intracardiac devices, arrhythmias, remote ECG monitoring, telemedicine, review
Bibliographic reference:
E.S. Tarasyuk, M.A. Murashko, Y.V. Vakhnenko, REMOTE MONITORING OF PATIENTS WITH INTRACARDIAC DEVICES - STAGES OF IMPLEMENTATION, RATIONALE AND CHALLENGES OF THE METHOD (REVIEW) // Scientific journal «Current problems of health care and medical statistics». - 2025. - №2;
URL: http://www.healthproblem.ru/magazines?textEn=1637 (date of access: 01.07.2025).
URL: http://www.healthproblem.ru/magazines?textEn=1637 (date of access: 01.07.2025).
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