Beyond the stethoscope: managing ambulatory heart failure during the COVID‐19 pandemic
| Autor: | Maxwell Afari, Andrew S. Oseran, Conor D. Barrett, Sunu S. Thomas, Gregory D. Lewis |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Telemedicine
lcsh:Diseases of the circulatory (Cardiovascular) system Stethoscope Population Vital signs Reviews Telehealth Review 030204 cardiovascular system & hematology law.invention 03 medical and health sciences 0302 clinical medicine law Pandemic Health care Ambulatory medicine Humans 030212 general & internal medicine education Heart Failure education.field_of_study business.industry Social distance COVID-19 medicine.disease Remote monitoring lcsh:RC666-701 Communicable Disease Control Medical emergency business Cardiology and Cardiovascular Medicine |
| Zdroj: | ESC Heart Failure ESC Heart Failure, Vol 8, Iss 2, Pp 999-1006 (2021) |
| ISSN: | 2055-5822 |
| Popis: | There have been nearly 70 million cases of COVID‐19 worldwide, with over 1.5 million deaths at the time of this publication. This global pandemic has mandated dramatic changes in healthcare delivery with a particular focus on social distancing in order to reduce viral transmission. Heart failure patients are among the highest utilizers of health care and are at increased risk for COVID‐related vulnerabilities. Effectively managing this complex and resource‐intensive patient population from a distance presents new and unique challenges. Here, we review relevant data on telemedicine and remote monitoring strategies for heart failure patients and provide a framework to help providers treat this population during the COVID‐19 pandemic. This includes (i) dedicated pre‐visit contact and planning (i.e. confirm clinical appropriateness, presence of compatible technology, and patient comfort); (ii) utilization of virtual clinic visits (use of telehealth platforms, a video‐assisted exam, self‐reported vital signs, and weights); and (iii) use of existing remote heart failure monitoring sensors when applicable (CardioMEMS, Optivol, and HeartLogic). While telemedicine and remote monitoring strategies are not new, these technologies are emerging as an important tool for the effective management of heart failure patients during the COVID‐19 pandemic. In general, these strategies appear to be safe; however, additional data will be needed to determine their effectiveness with respect to both process and outcomes measures. |
| Databáze: | OpenAIRE |
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