: The purpose of this review is to explore the benefits and controversies that telemedicine (TM), applied to patients with heart failure (HF), can provide in terms of diagnosis, therapeutic management, and prognosis improvement. During the coronavirus disease 19 (COVID-19) outbreak, TM emerged as the most effective and feasible method available to ensure continuous care for chronic diseases. Among these, HF, characterized by high mortality, morbidity, and the need for frequent visits, may benefit of the TM role. HF patients are affected by frequent exacerbations undergoing a progressive prognosis impoverishment, strongly depending on the disease's management. A precise clinical handling is always required, with a constant optimization of the therapy, a continuous control of risk factors, and a sensitive attention to any change in symptoms, clinical signs, and laboratory tests. In this context, TM has shown to improve therapy adherence and HF: patients' self-care, impacting the prognosis even if specific results are controversial. Major evidence shows that TM may allow an adequate primary prevention, reducing the impact of the main cardiovascular risk factors. TM can also be useful for the secondary prevention, early detecting a likely HF exacerbation before it becomes clinically manifest, thereby lowering the need for hospitalization. Moreover, an optimal up-titration of the therapy and an increase in treatment adherence are feasible by using TM. However, some studies did not show unambiguous results, and uncertainties still remain.

Telemedicine: an effective and low-cost lesson from the covid-19 pandemic for the management of heart failure patients / Severino, Paolo; Prosperi, Silvia; D'Amato, Andrea; Cestiè, Claudia; Myftari, Vincenzo; Maestrini, Viviana; Birtolo, Lucia Ilaria; Filomena, Domenico; Mariani, Marco Valerio; Lavalle, Carlo; Badagliacca, Roberto; Mancone, Massimo; Fedele, Francesco; Vizza, Carmine Dario. - In: CURRENT HEART FAILURE REPORTS. - ISSN 1546-9530. - 20:5(2023), pp. 382-389. [10.1007/s11897-023-00624-y]

Telemedicine: an effective and low-cost lesson from the covid-19 pandemic for the management of heart failure patients

Severino, Paolo
;
Prosperi, Silvia;D'Amato, Andrea;Myftari, Vincenzo;Maestrini, Viviana;Birtolo, Lucia Ilaria;Filomena, Domenico;Mariani, Marco Valerio;Lavalle, Carlo;Badagliacca, Roberto;Mancone, Massimo;Fedele, Francesco;Vizza, Carmine Dario
2023

Abstract

: The purpose of this review is to explore the benefits and controversies that telemedicine (TM), applied to patients with heart failure (HF), can provide in terms of diagnosis, therapeutic management, and prognosis improvement. During the coronavirus disease 19 (COVID-19) outbreak, TM emerged as the most effective and feasible method available to ensure continuous care for chronic diseases. Among these, HF, characterized by high mortality, morbidity, and the need for frequent visits, may benefit of the TM role. HF patients are affected by frequent exacerbations undergoing a progressive prognosis impoverishment, strongly depending on the disease's management. A precise clinical handling is always required, with a constant optimization of the therapy, a continuous control of risk factors, and a sensitive attention to any change in symptoms, clinical signs, and laboratory tests. In this context, TM has shown to improve therapy adherence and HF: patients' self-care, impacting the prognosis even if specific results are controversial. Major evidence shows that TM may allow an adequate primary prevention, reducing the impact of the main cardiovascular risk factors. TM can also be useful for the secondary prevention, early detecting a likely HF exacerbation before it becomes clinically manifest, thereby lowering the need for hospitalization. Moreover, an optimal up-titration of the therapy and an increase in treatment adherence are feasible by using TM. However, some studies did not show unambiguous results, and uncertainties still remain.
2023
guideline-directed medical therapy; heart failure; prevention; prognosis; telemedicine
01 Pubblicazione su rivista::01g Articolo di rassegna (Review)
Telemedicine: an effective and low-cost lesson from the covid-19 pandemic for the management of heart failure patients / Severino, Paolo; Prosperi, Silvia; D'Amato, Andrea; Cestiè, Claudia; Myftari, Vincenzo; Maestrini, Viviana; Birtolo, Lucia Ilaria; Filomena, Domenico; Mariani, Marco Valerio; Lavalle, Carlo; Badagliacca, Roberto; Mancone, Massimo; Fedele, Francesco; Vizza, Carmine Dario. - In: CURRENT HEART FAILURE REPORTS. - ISSN 1546-9530. - 20:5(2023), pp. 382-389. [10.1007/s11897-023-00624-y]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1691960
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