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Telemedicine and remote management of patients with heart failure
Abstract
Advances in telecommunication technologies have created new opportunities to provide telemedical care as an adjunct to medical management of patients with heart failure. Meta-analyses suggest that telemedicine can reduce morbidity and mortality in such patients; however, two prospective clinical trials not included in the analyses do not support these findings. Therefore, the effectiveness of telemedicine in heart failure is not established. Telemedicine approaches range from computer-based support systems to programmes led by nurses and physicians. Standardisation and appropriate classification of telemedical systems are needed to enable accurate interpretation of clinical trials. Here we propose a classification of four generations of telemedicine in heart failure. Not all approaches are the same and not every patient with heart failure will need telemedicine. Crisis prevention and treatment, and stabilisation and self-empowerment of patients are focuses of telemedicine in heart failure. The profile of patients who can potentially benefit from telemedicine is unknown and should be investigated in adequately powered randomised clinical trials. We are optimistic that telemedicine is an efficient approach and will become an important feature of management in heart failure.
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Metadata
- Authors
- Anker, S. D., Koehler, F., & Abraham, W. T.
- Affiliations
- Istituti di Ricovero e Cura a Carattere Scientifico (IT)
- Charité – Universitätsmedizin Berlin (DE)
- The Ohio State University (US)
- Corresponding author
- Anker, Stefan D
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 2011-08
- Volume
- 378
- Issue
- 9792
- Pages
- 731-739
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- OpenAlex
- W2138756053
- Cited by
- 343
- References
- 27
- Citations by year
- 2026: 8 · 2025: 14 · 2024: 15 · 2023: 19 · 2022: 14 · 2021: 15 · 2020: 21 · 2019: 27 · 2018: 25 · 2017: 25 · 2016: 34 · 2015: 30 · 2014: 37 · 2013: 23 · 2012: 30
- FWCI
- 29.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Lancet (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Bundesministerium für Wirtschaft und Technologie (01MG531)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- telemedicine, heart failure, remote patient monitoring, crisis prevention, morbidity and mortality reduction
- MeSH terms
- Chronic Disease, Heart Failure, Humans, Telemedicine
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