[心力衰竭和心室功能障碍患者的远程监测:特里斯特心脏病学中心的操作方案]
Cosimo Carriere1, Alberto Guarnaccia1, Eva Del Mestre1
1Dipartimento Cardiotoracovascolare, Centro per la Diagnosi e Cura delle Cardiomiopatie, Azienda Sanitaria Universitaria Giuliano Isontina (ASUGI) e Università degli Studi di Trieste, Trieste.
Giornale italiano di cardiologia (2006)
|February 3, 2025
概括
针对心力衰竭的创新远程监测算法可以预测急性不补偿性心力衰竭事件. 这种方法可以为左心室缩功能减弱的患者提供早期预防和治疗策略.
科学领域:
- 心脏病学 心脏病学
- 医疗技术 医疗技术 医学技术
- 数字健康数字健康
背景情况:
- 慢性心力衰竭 (CHF) 呈现出越来越大的流行病学挑战,对发病率,死亡率和医疗保健成本做出了重大贡献.
- 患有心力衰竭和左心室缩功能 (HFrEF) 减少的患者通常需要先进的治疗策略.
- 具有远程监控能力的可植入心脏器件为管理HFrEF提供了新的途径.
研究的目的:
- 审查创新的远程监控算法,用于预测HFrEF患者急性不补偿性心力衰竭 (ADHF).
- 提出一个综合的组织模型,用于管理设备生成的心力衰竭警报.
- 在医院和区域网络内标准化心力衰竭管理的诊断和治疗标准.
主要方法:
- 使用来自设备 (HeartLogicTM,HeartInsight,TriageHF) 的复合指数来检测亚临床血液动力学变化.
- 开发了一个管理协议,其中包括一个风险分层流程图,用于接收设备警报的患者.
- 实施了基于警报持续性和患者症状的分层管理方法,包括远程监测和亲自重新评估.
主要成果:
- 远程监控算法在识别ADHF的早期迹象方面表现出高灵敏度和特异性.
- 拟议的组织模式促进了医院和区域心脏病网络之间的协调护理.
- 一个结构化的管理协议允许及时干预和治疗调整以响应警报.
结论:
- 远程监控算法在预测和预防HFrEF患者的ADHF方面取得了重大进展.
- 综合管理模式可以加强对心力衰竭患者的护理协调,改善治疗结果.
- 标准化协议对于在常规临床实践中有效利用远程监控数据至关重要.
更多相关视频
07:49Author Spotlight: Investigating HR-Dependent Cardiac Function in Mouse Models Through a Novel Atrial-Pacing Approach
Published on: July 21, 2023
1.3K
04:20Integration of Brain Tissue Saturation Monitoring in Cardiopulmonary Exercise Testing in Patients with Heart Failure
Published on: October 1, 2019
5.7K
相关概念视频
01:30Pulse rhythm
754
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
754
01:22Heart Failure Drugs: Diuretics
338
Heart failure and kidney perfusion are interconnected in a complex way. Reduced renal perfusion and venous congestion are two significant factors that contribute to renal dysfunction in heart failure. The kidneys, primarily responsible for fluid balance in the body, are adversely affected due to compromised cardiac output and increased venous pressure. In response to reduced renal perfusion, the kidneys activate neurohumoral mechanisms to restore balance. However, these mechanisms can be...
338
01:26Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
375
The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
375
01:26Heart Failure Drugs: Inotropic Agents
505
Positive inotropic agents are commonly used as the first line of treatment for heart failure. One such agent is digoxin, derived from the genus Digitalis, which has been known for centuries but effectively utilized since 1785. However, these cardiac glycosides can have potentially toxic effects due to their mechanism of action, which involves inhibiting Na+/K+-ATPase and increasing contractility. Digoxin is absorbed orally and distributed in various tissues, including the CNS. It has a long...
505
01:17Pathophysiology of Heart Failure
1.5K
Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
1.5K
01:17Imaging Studies for Cardiovascular System I:Echocardiography
287
Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
287