„Ex oriente lux”
Congratulations to the authors of this first textbook focusing on the new,
emerging field of telecardiology.
This textbook is a very important step to spread more knowledge to
clinical cardiologists – from the basics to practical issues of this new facet
of digital cardiology.
For me it is not a surprise that this important textbook was written and
published in Poland first.
Pioneer work in the field, e.g. the TELEREH-HF trial, was performed in a nationwide network of
telemedical centers.
Moreover, the Polish colleagues are working hard and with open mind.
So, there is a constant exchange of new ideas even from abroad and the cooperation with international
experts, which represents another success factor for the telecardiology in Poland.
Finally, the translation of this textbook into English is a consistent next step taken to extend
its audience for the benefit of our patients.
Friedrich Köhler
Berlin, Charite. 2020-05-06
Heart failure remains a significant challenge for health care systems
worldwide. As the medical world strives to reduce the incidence of this
disease and provide patients with more comprehensive care, the telemanagement
of heart failure patients offers a promising solution.
This book presents the role of different forms of e-Health – including
e-education and self-monitoring, internet/mobile applications, structured
telephone support, telemonitoring, telerehabilitation, remote monitoring
of cardiovascular implantable electronic devices, and haemodynamic implantable
electronic devices – in providing optimal longterm management
of heart failure patients.
Introducing telecardiology to everyday clinical practice requires educating both patients and
medical teams (physicians, nurses, physiotherapists, psychologists). In this respect, it is a unique
book devoted to the use of remote monitoring in the comprehensive care of heart failure
patients. The role of telemedicine in the management of chronic diseases is supported by
European, American, and international scienti c societies.
I would like to congratulate the authors of this magnificent book, which will be extremely useful
to fellow cardiologists as well as our cardiac patients.
Alexandru Mischie MD, PhD, FESC, FAHA / Cardiologist
Head of Interv. Cardiology Department Centre Hospitalier Montlucon, France
Chair of the Tele-Cardiology WG International Society for Telemedicine & e-Health
Board Member&Communication CNCH
Past-Secretary of the ESC-ACVC
Introduction to telecardiology 1
Heart failure – a 21st century epidemic 7
Definition of eHealth and the telemonitoring process 11
3.1. Introduction 11
3.2. eHealth and telemedicine – defi nitions 11
3.3. Types of telemedicine services 14
3.4. eHealth in heart failure 16
3.5. Polish experience gained from the TELEREH-HF project 17
3.6. Summary 18
E-education and self-monitoring 19
4.1. Mobile applications 19
4.2. Websites 22
4.3. Summary 26
Telephone support and telemonitoring of patients with heart failure 29
5.1. Introduction 29
5.2. Telephone support and telemonitoring in heart failure 29
5.3. “Doc-to-Doc” telecardiology 30
5.4. “Doc-to-Patient” telecardiology 30
5.5. Practical implementation 31
5.6. Data from published studies 32
5.7. The TELEREH-HF randomized clinical trial 36
5.8. Summary 36
Non-invasive methods of haemodynamic monitoring 41
6.1. Introduction 41
6.2. Impedance cardiography 41
6.3. Lung impedance 43
6.4. Electromagnetic technologies 45
6.5. Spectroscopy, electrical bioimpedance 48
6.6. Summary 49
Remote monitoring of therapeutic implantable devices 53
7.1. Defi nition 53
7.2. Description of the method 53
7.3. Recommendations 54
7.4. Evaluated parameters 54
7.5. A review of clinical trials of telemonitoring 58
7.6. Development of telemonitoring in Poland 63
7.7. Innovations in telemonitoring of cardiac implantable devices 63
7.8. Summary 64
Remote monitoring of implantable haemodynamic devices 67
8.1. Introduction 67
8.2. Monitoring of right ventricular systolic pressure and pulmonary arterial diastolic pressure 68
8.3. Pulmonary artery pressure monitoring 70
8.4. Left atrial pressure monitoring 72
8.5. Left ventricular assist devices and biventricular assist devices 74
8.6. Summary 76
Hybrid cardiac telerehabilitation 79
9.1. Introduction 79
9.2. Remote exercise monitoring 80
9.3. Effectiveness of cardiac telerehabilitation 82
9.4. Hybrid cardiac telerehabilitation — technology and organisation 84
9.5. Benefi ts and limitations of hybrid cardiac telerehabilitation 87
9.6. Hybrid cardiac telerehabilitation within the TELEREH-HF project 88
9.7. Summary 88
Remote psychological support for patients with heart failure 91
10.1. Main psychological problems and quality of life in people with heart failure – key definitions 91
10.2. Psychological interventions in the treatment of heart failure 93
10.3. Psychological assistance with modern forms of communication 94
10.4. The influence of telecare on the psychological functioning of patients with heart failure 97
10.5. Psychological support from other medical staff members 100
10.6. Summary 103
New possibilities for monitoring of patients with heart failure 107
11.1. Remote monitoring of pharmacotherapy 107
11.2. Varia 111
11.3. Summary 118
Benefits and limitations of telemedicine in patients with heart failure 121
12.1. Introduction 121
12.2. Benefi ts and limitations 121
12.3. Digitisation of health protection and organisation 124
12.4. Summary 126
Postscript, i.e. telemedicine in comprehensive, coordinated care for patients with heart failure in Poland 129
Index 139
Za darmo