ESC e-Cardiology Working Group Position Paper: Overcoming challenges in digital health implementation in cardiovascular medicine
Open accessAbstract
Cardiovascular disease is one of the main causes of morbidity and mortality worldwide. Despite the availability of highly effective treatments, the contemporary burden of disease remains huge. Digital health interventions hold promise to improve further the quality and experience of cardiovascular care. This position paper provides a brief overview of currently existing digital health applications in different cardiovascular disease settings. It provides the reader with the most relevant challenges for their large-scale deployment in Europe. The potential role of different stakeholders and related challenges are identified, and the key points suggestions on how to proceed are given. This position paper was developed by the European Society of Cardiology (ESC) e-Cardiology working group, in close collaboration with the ESC Digital Health Committee, the European Association of Preventive Cardiology, the European Heart Rhythm Association, the Heart Failure Association, the European Association of Cardiovascular Imaging, the Acute Cardiovascular Care Association, the European Association of Percutaneous Cardiovascular Interventions, the Association of Cardiovascular Nursing and Allied Professions and the Council on Hypertension. It relates to the ESC's action plan and mission to play a pro-active role in all aspects of the e-health agenda in support of cardiovascular health in Europe and aims to be used as guiding document for cardiologists and other relevant stakeholders in the field of digital health.
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- Authors
- Frederix, I., Caiani, E. G., Dendale, P., Anker, S., Bax, J., Böhm, A., Cowie, M., Crawford, J., de Groot, N., Dilaveris, P., Hansen, T., Koehler, F., Krstačić, G., Lambrinou, E., Lancellotti, P., Meier, P., Neubeck, L., Parati, G., Piotrowicz, E., Tubaro, M., & van der Velde, E.
- Affiliations
- University of Antwerp (BE)
- Institute of Electronics, Computer and Telecommunication Engineering (IT)
- Jessa Hospital (BE)
- Berlin-Brandenburger Centrum für Regenerative Therapien (DE)
- Leiden University Medical Center (NL)
- Slovak Medical University (SK)
- National Heart and Lung Institute , Imperial College London, UK
- International Advisory Group , Healthcare Information and Management Systems Society (HIMSS), UK
- Department of Cardiology , Erasmus Medical Center, The Netherlands
- Hippocration General Hospital (GR)
- Zealand University Hospital (DK)
- Charité – Universitätsmedizin Berlin (DE)
- University of Osijek (HR)
- Cyprus University of Technology (CY)
- Centre Hospitalier Universitaire de Liège (BE)
- University Hospital of Geneva (CH)
- Edinburgh Napier University (GB)
- IRCCS Istituto Auxologico Italiano (IT)
- Institute of Cardiology (PL)
- ICCU – Cardiology Division , San Filippo Neri Hospital, Italy
- Department of Cardiology , Leiden University Medical Centre (LUMC), The Netherlands
- Corresponding author
- Caiani, Enrico G
- ORCID
- Venue
- European Journal of Preventive Cardiology
- Publisher
- Oxford University Press (OUP)
- Published
- 2019-07-01
- Volume
- 26
- Issue
- 11
- Pages
- 1166-1177
- ISSN
- 2047-4873 (ISSN-L)
- 2047-4881
- OpenAlex
- W2930433124
- Cited by
- 323
- References
- 63
- Citations by year
- 2026: 22 · 2025: 41 · 2024: 44 · 2023: 73 · 2022: 47 · 2021: 46 · 2020: 40 · 2019: 10
- FWCI
- 48.71
- Type
- journal article
- Language
- en
- Open access
- green
- orbi.uliege.be
- Licence
- Locations
- European Journal of Preventive Cardiology (publishedVersion)
- PubMed (publishedVersion)
- University of Southern Denmark Research Portal (University of Southern Denmark) (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Leiden Repository (Leiden University) (submittedVersion)
- BOA (University of Milano-Bicocca) (submittedVersion)
- Document Server@UHasselt (UHasselt) (submittedVersion)
- Edinburgh Napier Research Repository (Edinburgh Napier University) (submittedVersion)
- ORBi (University of Liège) (submittedVersion, other-oa)
- Virtual Community of Pathological Anatomy (University of Castilla La Mancha) (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
- Keywords
- digital health, cardiology, e-health, digital health implementation, cardiovascular disease, stakeholder roles, large-scale deployment, European Society of Cardiology, health technology adoption
- MeSH terms
- Stakeholder Participation, Cardiovascular Diseases, Humans, Telemedicine, Delivery of Health Care, Integrated, Quality Indicators, Health Care, Consensus, Quality Improvement
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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