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Анализ современной практики применения дистанционных форм медицинских консультаций и диспансерного наблюдения пациентов с ишемической болезнью сердца (обзор литературы)
Анализ современной практики применения дистанционных форм медицинских консультаций и диспансерного наблюдения пациентов с ишемической болезнью сердца (обзор литературы)
Мишина И.Е., Гудухин А.А., Сарана А.М., Уразов С.П. Анализ современной практики применения дистанционных форм медицинских консультаций и диспансерного наблюдения пациентов с ишемической болезнью сердца (обзор литературы). CardioСоматика. 2019; 10 (1): 42–50. DOI: 10.26442/22217185.2019.1.190186
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Аннотация
Цель. Осветить современные представления о роли дистанционных технологий в диспансерном наблюдении пациентов с сердечно-сосудистыми заболеваниями.
Материалы и методы. Рассмотрены данные 57 научных источников, опубликованных в российской и зарубежной печати в 1984–2018 гг.
Результаты и заключение. Общепризнанно, что пациентам с инфарктом миокарда необходима кардиореабилитация, однако частота их участия в ее программах остается низкой в связи с транспортными проблемами, нежеланием покидать дом из-за тревоги и депрессии, менять режим дня в связи с необходимостью амбулаторных посещений и т.д. Современные достижения телемедицины решают эти проблемы и позволяют врачам проводить мониторинг состояния пациентов дистанционно. Все виды телеметрических устройств имеют некоторые преимущества: системы наружного кардиомониторинга в режиме реального времени оперативно собирают и передают самую полную информацию без участия пациента, стандартные непетлевые и петлевые регистраторы недороги и повсеместно доступны, а адгезивные пэтч-регистраторы очень удобны в использовании и повышают комплаентность. Применение мобильных приложений и СМС в рамках дистанционной кардиореабилитации изучено недостаточно полно, однако уже собраны данные об их эффективности в коррекции поведения пациентов. Специалисты еще не пришли к единому мнению об эффективности комплексной телекардиореабилитации, включающей телеметрию, удаленное консультирование и проведение терапевтического обучения, но многие исследования показали, что она выступает достойной альтернативой традиционным программам реабилитации, так как имеет более высокие показатели посещаемости занятий.
Ключевые слова: инфаркт миокарда, реабилитация, телемедицина, телеметрия, дистанционное наблюдение, регистраторы электрокардиография, кардиомониторинг, мобильные приложения, СМС.
Materials and methods. The data of 57 scientific sources published in the russian and foreign press in 1984–2018 are considered.
Results and conclusion. It is generally recognized that patients with myocardial infarction need cardiac rehabilitation, but the frequency of their participation in its programs remains low due to transport problems, unwillingness to leave home due to anxiety and depression, and to change the mode of the day due to the need for ambulant visits, etc. Modern achievements of telemedicine solve these problems and allow doctors to monitor the status of patients remotely. All types of telemetry devices have some advantages: external cardiomonitoring systems in real time quickly collect and transmit the most complete information without the participation of the patient, standard non-loop and loop recorders are inexpensive and widely available, and adhesive patch recorders are very easy to use and increase compliance. The use of mobile applications and SMS in the framework of remote cardiorehabilitation has not been sufficiently studied, but data on their effectiveness in correcting the behavior of patients have already been collected. Experts have not yet come to a consensus on the effectiveness of complex tele-cardiorehabilitation, including telemetry, telecoaching and teleconsulting, but many studies have shown that it is a worthy alternative to traditional rehabilitation programs, as it has higher rates of attendance.
Key words: myocardial infarction, rehabilitation, telemedicine, telemetry, remote monitoring, ECG recorders, cardiac monitoring, mobile applications, SMS.
Материалы и методы. Рассмотрены данные 57 научных источников, опубликованных в российской и зарубежной печати в 1984–2018 гг.
Результаты и заключение. Общепризнанно, что пациентам с инфарктом миокарда необходима кардиореабилитация, однако частота их участия в ее программах остается низкой в связи с транспортными проблемами, нежеланием покидать дом из-за тревоги и депрессии, менять режим дня в связи с необходимостью амбулаторных посещений и т.д. Современные достижения телемедицины решают эти проблемы и позволяют врачам проводить мониторинг состояния пациентов дистанционно. Все виды телеметрических устройств имеют некоторые преимущества: системы наружного кардиомониторинга в режиме реального времени оперативно собирают и передают самую полную информацию без участия пациента, стандартные непетлевые и петлевые регистраторы недороги и повсеместно доступны, а адгезивные пэтч-регистраторы очень удобны в использовании и повышают комплаентность. Применение мобильных приложений и СМС в рамках дистанционной кардиореабилитации изучено недостаточно полно, однако уже собраны данные об их эффективности в коррекции поведения пациентов. Специалисты еще не пришли к единому мнению об эффективности комплексной телекардиореабилитации, включающей телеметрию, удаленное консультирование и проведение терапевтического обучения, но многие исследования показали, что она выступает достойной альтернативой традиционным программам реабилитации, так как имеет более высокие показатели посещаемости занятий.
Ключевые слова: инфаркт миокарда, реабилитация, телемедицина, телеметрия, дистанционное наблюдение, регистраторы электрокардиография, кардиомониторинг, мобильные приложения, СМС.
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Materials and methods. The data of 57 scientific sources published in the russian and foreign press in 1984–2018 are considered.
Results and conclusion. It is generally recognized that patients with myocardial infarction need cardiac rehabilitation, but the frequency of their participation in its programs remains low due to transport problems, unwillingness to leave home due to anxiety and depression, and to change the mode of the day due to the need for ambulant visits, etc. Modern achievements of telemedicine solve these problems and allow doctors to monitor the status of patients remotely. All types of telemetry devices have some advantages: external cardiomonitoring systems in real time quickly collect and transmit the most complete information without the participation of the patient, standard non-loop and loop recorders are inexpensive and widely available, and adhesive patch recorders are very easy to use and increase compliance. The use of mobile applications and SMS in the framework of remote cardiorehabilitation has not been sufficiently studied, but data on their effectiveness in correcting the behavior of patients have already been collected. Experts have not yet come to a consensus on the effectiveness of complex tele-cardiorehabilitation, including telemetry, telecoaching and teleconsulting, but many studies have shown that it is a worthy alternative to traditional rehabilitation programs, as it has higher rates of attendance.
Key words: myocardial infarction, rehabilitation, telemedicine, telemetry, remote monitoring, ECG recorders, cardiac monitoring, mobile applications, SMS.
Полный текст
Список литературы
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2. Rekomendatsii EOK po vedeniiu patsientov s ostrym infarktom miokarda s pod"emom segmenta ST 2017. Ros. kardiol. zhurn. 2018; 23 (5): 103–58 (in Russian).
3. Erlikh A.D. Shestimesiachnye iskhody u patsientov s ostrym koronarnym sindromom, vkliuchennykh v rossiiskii registr REKORD-3. Ros. kardiol. zhurn. 2017; 22 (11): 8–14 (in Russian).
4. Rehabilitation after cardiovascular diseases, with special emphasis on developing countries. A report of a WHO Committee. World Health Organ. Tech Rep Ser 1993; 831: 1–122.
5. Aronov D.M., Bubnova M.G., Barbarash O.L. et al. Ostryi infarkt miokarda s pod"emom segmenta ST elektrokardiogrammy: reabilitatsiia i vtorichnaia profilaktika. Rossiiskie klinicheskie rekomendatsii. Cardiosomatics. 2014 (Pril k №1): 5–41 (in Russian).
6. Smith SC, Benjamin EJ, Bonow RO et al. AHA/ACCF secondary prevention and risk reduction therapy for patients with coronary and other atherosclerotic vascular disease: 2011 update: a guideline from the American Heart Association and American College of Cardiology Foundation endorsed by the World Heart Federation and the Preventive Cardiovascular Nurses Association. J Am Coll Cardiol 2011; 58 (23): 2432–46. DOI: 10.1016/j.jacc.2011.10.824
7. Leon AS, Franklin BA, Costa F et al. Cardiac rehabilitation and secondary prevention of coronary heart disease: an American Heart Association scientific statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity), in collaboration with the American association of Cardiovascular and Pulmonary Rehabilitation. Circulation 2005; 111 (3): 369–76. DOI: 10.1161/01.CIR.0000151788.08740.5C
8. Juocevicius A, Oral A, Lukmann A et al. Evidence-based position paper on Physical and Rehabilitation Medicine (PRM) professional practice for people with cardiovascular conditions. The European PRM position (UEMS PRM Section). Eur J Phys Rehabil Med 2018; 54 (4): 634–43. DOI: 10.23736/S1973-9087.18.05310-8
9. Jolliffe JA, Rees K, Taylor RS et al. Exercise-based rehabilitation for coronary heart disease. Cochrane Database Syst Rev 2001; 1: CD001800. DOI: 10.1002/14651858.CD001800
10. Giannuzzi P, Saner H, Björnstad H et al, Working Group on Cardiac Rehabilitation and Exercise Physiology of the European Society of Cardiology. Secondary prevention through cardiac rehabilitation: position paper of the Working Group on Cardiac Rehabilitation and Exercise Physiology of the European Society of Cardiology. Eur Heart J 2003; 24 (13): 1272–8.
11. Committee on Exercise and Cardiac Rehabilitation of the Council on Clinical Cardiology. Core components of cardiac rehabilitation/secondary prevention programs. A statement for health professionals by the Committee on Exercise and Cardiac Rehabilitation of the Council on Clinical Cardiology. Circulation 2000; 102: 1069–73.
12. Taylor RS, Brown A, Ebrahim S et al. Exercise-based rehabilitation for patients with coronary heart disease: systematic review and meta-analysis of randomized controlled trials. Am J Med 2004; 116 (10): 682–92. DOI: 10.1016/j.amjmed.2004.01.009
13. Neubeck L, Lowres N, Benjamin EJ et al. The mobile revolution – using smartphone apps to prevent cardiovascular disease. Nat Rev Cardiol 2015; 12 (6): 350–60. DOI: 10.1038/nrcardio.2015.34
14. Ivanova G.E. Medical rehabilitation in Russia. Development prospects. Consilium Medicum. 2016; 18 (2.1): 9–13 (in Russian).
15. Bjarnason-Wehrens B, McGee H, Zwisler AD et al, Cardiac Rehabilitation Section European Association of Cardiovascular Prevention and Rehabilitation. Cardiac rehabilitation in Europe: results from the European Cardiac Rehabilitation Inventory Survey. Eur J Cardiovasc Prev Rehabil 2010; 17 (4): 410–8. DOI: 10.1097/HJR.0b013e328334f42d
16. Conraads VM, Deaton C, Piotrowicz E et al. Adherence of heart failure patients to exercise: barriers and possible solutions: a position statement of the Study Group on Exercise Training in Heart Failure of the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail 2012; 14 (5): 451–8. DOI: 10.1093/eurjhf/hfs048
17. Piotrowicz E. How to do: telerehabilitation in heart failure patients. Cardiol J 2012; 19 (3): 243–8.
18. Shaw DK, Heggestad-Hereford JR, Southard DR, Sparks KE. American Association of Cardiovascular and Pulmonary Rehabilitation telemedicine position statement. J Cardiopulm Rehabil 2001; 21: 261–2.
19. Burke LE, Ma J, Azar KM et al. Current science on consumer use of mobile health for cardiovascular disease prevention a scientific statement from the American Heart Association. Circulation 2015; 132 (12): 1157–213. DOI: 10.1161/CIR.0000000000000232
20. Smart N, Haluska B, Jeffriess L, Marwick TH. Predictors of sustained response to exercise training in patients with chronic heart failure: a telemonitoring study. Am Heart J 2005; 150 (6): 1240–7. DOI: 10.1016/j.ahj.2005.01.035
21. Fletcher GF, Chiaramida AJ, LeMay MR et al. Telephonically-monitored home exercise early after coronary artery bypass surgery. Chest 1984; 86 (2): 198–202.
22. Piotrowicz E, Piepoli MF, Jaarsma T et al. Telerehabilitation in heart failure patients: the evidence and the pitfalls. Int J Cardiol 2016; 220: 408–13. DOI: 10.1016/j.ijcard.2016.06.277
23. Crawford MH, Bernstein SJ, Deedwania PC et al. ACC/AHA guidelines for ambulatory electrocardiography: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the Guidelines for Ambulatory Electrocardiography). Developed in collaboration with the North American Society for Pacing and Electrophysiology. J Am Coll Cardiol 1999; 34 (3): 912–48.
24. Kadish AH, Buxton AE, Kennedy HL et al. ACC/AHA clinical competence statement on electrocardiography and ambulatory electrocardiography. A report of the ACC/AHA/ACP-ASIM Task force on clinical competence (ACC/AHA Committee to develop a clinical competence statement on electrocardiography and ambulatory electrocardiography) endorsed by the International Society for Holter and noninvasive electrocardiology. J Am Circulation 2001; 104 (25): 3169–78.
25. Lobodzinski SS. ECG patch monitors for assessment of cardiac rhythm abnormalities. Prog Cardiovasc Dis 2013; 56 (2): 224–9. DOI: 10.1016/j.pcad.2013.08.006
26. Lobodzinski SS, Laks MM. New devices for very long-term ECG monitoring. Cardiol J 2012; 19 (2): 210–4.
27. Rosenberg MA, Samuel M, Thosani A, Zimetbaum PJ. Use of a noninvasive continuous monitoring device in the management of atrial fibrillation: a pilot study. Pacing Clin Electrophysiol 2013; 36 (3): 328–33. DOI: 10.1111/pace.12053
28. Turakhia MP, Hoang DD, Zimetbaum P et al. Diagnostic utility of a novel leadless arrhythmia monitoring device. Am J Cardiol 2013; 112 (4): 520–4. DOI: 10.1016/j.amjcard.2013.04.017
29. Ajami S, Teimouri F. Features and application of wearable biosensors in medical care. J Res Med Sci 2015; 20 (12): 1208–15. DOI: 10.4103/1735-1995.172991
30. Lobodzinski SS, Laks MM. Comfortable textile-based electrocardiogram systems for very long-term monitoring. Cardiol J 2008; 15 (5): 477–80.
31. Perez de Isla L, Lennie V, Quezada M et al. New generation dynamic, wireless and remote cardiac monitorization platform: a feasibility study. Int J Cardiol 2011; 153 (1): 83–5. DOI: 10.1016/j.ijcard.2011.08.074
32. Task Force members, Brignole M, Vardas P, Hoffman E et al; Document Reviewers, Lip GY, Almendral J, Kirchhof P, Botto GL; EHRA Scientific Documents Committee. Indications for the use of diagnostic implantable and external ECG loop recorders. Europace 2009; 11 (5): 671–87. DOI: 10.1093/europace/eup097
33. Locati ET, Moya A, Oliveira M et al. External prolonged electrocardiogram monitoring in unexplained syncope and palpitations: results of the SYNARR-Flash study. Europace 2016; 18 (8): 1265–72. DOI: 10.1093/europace/euv311
34. Haberman ZC, Jahn RT, Bose R et al. Wireless smartphone ECG enables large-scale screening in diverse populations. J Cardiovasc Electrophysiol 2015; 26 (5): 520–6. DOI: 10.1111/jce.12634
35. Rothman SA, Laughlin JC, Seltzer J et al. The diagnosis of cardiac arrhythmias: a prospective multicenter randomized study comparing mobile cardiac outpatient telemetry versus standard loop event monitoring. J Cardiovasc Electrophysiol 2007; 18 (3): 241–7.
36. Tsang JP, Mohan S. Benefits of monitoring patients with mobile cardiac telemetry (MCT) compared with the Event or Holter monitors. Med Devices (Auckl) 2013; 7: 1–5. DOI: 10.2147/MDER.S54038
37. Papouchado M, Walker PR, James MA, Clarke LM. Fundamental differences between the standard 12-lead electrocardiograph and the modified (Mason-Likar) exercise lead system. Eur Heart J 1987; 8 (7): 725–33.
38. Steinberg JS, Varma N, Cygankiewicz I et al. Soglasovannoe zakliuchenie ekspertov ISHNE-HRS 2017 po ambulatornomu monitorirovaniiu EKG i naruzhnomu monitorirovaniiu deiatel'nosti serdtsa/telemetrii. Kardiologiia: novosti, mneniia, obuchenie. 2018; 1: 16–64 (in Russian).
39. Piette JD, List J, Rana GK et al. Mobile health devices as tools for worldwide cardiovascular risk reduction and disease management. Circulation 2015; 132 (21): 2012–27. DOI: 10.1161/CIRCULATIONAHA.114.008723
40. Kurdgeliia T.M., Bokeriia O.L. Mobil'nye tekhnologii v kardiologii. Sovremennaia nauka: aktual'nye problemy teorii i praktiki. Ser.: Estestvennye i tekhnicheskie nauki. 2016; 11: 85–92 (in Russian).
41. Widmer RJ, Allison TG, Lerman LO, Lerman A. Digital health intervention as an adjunct to cardiac rehabilitation reduces cardiovascular risk factors and rehospitalizations. J Cardiovasc Transl Res 2015; 8 (5): 283–92. DOI: 10.1007/s12265-015-9629-1
42. Piotrowicz E, Baranowski R, Bilinska M et al. A new model of home-based telemonitored cardiac rehabilitation in patients with heart failure: effectiveness, quality of life, and adherence. Eur J Heart Fail 2010; 12 (2): 164–71. DOI: 10.1093/eurjhf/hfp181
43. Wootton R. Twenty years of medicine in chronic disease management – an evidence synthesis. J Telemed Telecare 2012; 18 (4): 211–20. DOI: 10.1258/jtt.2012.120219
44. Piotrowicz E, Korzeniowska-Kubacka I, Chrapowicka A et al. Feasibility of home-based cardiac telerehabilitation: results of TeleInterMed study. Cardiol J 2014; 21 (5): 539–46. DOI: 10.5603/CJ.a2014.0005
45. Hwang R, Bruning J, Morris NR et al. Home-based telerehabilitation is not inferior to a centre-based program in patients with chronic heart failure: a randomised trial. J Physiother 2017; 63 (2): 101–7. DOI: 10.1016/j.jphys.2017.02.017
46. Frederix I, Hansen D, Coninx K et al. Medium-term effectiveness of a comprehensive internet-based and patient-specific telerehabilitation program with text messaging support for cardiac patients: randomized controlled trial. J Med Internet Res 2015; 17 (7): e185. DOI: 10.2196/jmir.4799
47. Inglis SC, Clark RA, McAlister FA et al. Which components of heart failure programmes are effective? A systematic review and meta-analysis of the outcomes of structured telephone support or telemonitoring as the primary component of chronic heart failure management in 8323 patients: Abridged Cochrane Review. Eur J Heart Fail 2011; 13 (9): 1028–40. DOI: 10.1093/eurjhf/hfr039
48. Chaudhry SI, Mattera JA, Curtis JP et al. Telemonitoring in patients with heart failure. N Engl J Med 2010; 363 (24): 2301–9. DOI: 10.1056/NEJMoa1010029
49. Koehler F, Winkler S, Schieber M et al, Telemedical Interventional Monitoring in Heart Failure Investigators. Impact of remote telemedical management on mortality and hospitalizations in ambulatory patients with chronic heart failure: the telemedical interventional monitoring in heart failure study. Circulation 2011; 123 (17): 1873–80. DOI: 10.1161/CIRCULATIONAHA.111.018473
50. Chan C, Yamabayashi C, Syed N et al. Exercise telemonitoring and telerehabilitation compared with traditional cardiac and pulmonary rehabilitation: a systematic review and meta-analysis. Physiother Can 2016; 68 (3): 242–51. DOI: 10.3138/ptc.2015-33
51. Shaw DK, Sparks KE, Jennings HS. 3rd. Transtelephonic exercise monitoring: a review. J Cardiopulm Rehabil 1998; 18 (4): 263–70.
52. Zutz A, Ignaszewski A, Bates J, Lear SA. Utilization of the internet to deliver cardiac rehabilitation at a distance: a pilot study. Telemed J E Health 2007; 13 (3): 323–30. DOI: 10.1089/tmj.2006.0051
53. Piotrowicz E, Piotrowicz R. Cardiac telerehabilitation: current situation and future challenges. Eur J Prev Cardiol 2013; 20 (2 Suppl.): 12–6. DOI: 10.1177/2047487313487483c
54. Varma N, Epstein AE, Irimpen A et al. Efficacy and safety of automatic remote monitoring for implantable cardioverter-defibrillator follow-up: the Lumos-Tsafely reduces routine office device follow-up (TRUST) trial. Circulation 2010; 122 (4): 325–32. DOI: 10.1161/CIRCULATIONAHA.110.937409
55. Slotwiner D, Varma N, Akar JG et al. Sovmestnoe ekspertnoe zakliuchenie Amerikanskogo obshchestva serdechnogo ritma (HRS) po udalennoi telemetrii i monitoringu serdechno-sosudistykh implantiruemykh elektronnykh ustroistv. Vestn. aritmologii 2015; 82: 43–72 (in Russian).
56. Popyl'kova O.V., Durmanov S.S., Bazylev V.V. Opyt raboty seti "satellitnykh klinik' v sisteme udalennogo monitoringa patsientov s implantirovannymi kardioverterami-defibrilliatorami. Annaly aritmologii. 2016; 13 (3): 183–8 (in Russian).
57. Liamina N.P., Kotel'nikova E.V. Mobil'nye tekhnologii kak instrument integratsii programm kardiologicheskoi reabilitatsii v sistemu dinamicheskogo nabliudeniia patsientov s khronicheskoi serdechnoi nedostatochnost'iu. Vestn. vosstanovit. meditsiny. 2017; 5: 25–32 (in Russian).
[Bokeriia L.A., Ctupakov I.N., Samorodskaia I.V. et al. Ishemicheskaia bolezn' serdtsa i faktory riska (sravnenie pokazatelei v stranakh Evropy, SShA i Rossii). Grudnaia i serdechno-sosudistaia khirurgiia. 2007; 4: 6–10 (in Russian).]
2. Рекомендации ЕОК по ведению пациентов с острым инфарктом миокарда с подъемом сегмента ST 2017. Рос. кардиол. журн. 2018; 23 (5): 103–58.
[Rekomendatsii EOK po vedeniiu patsientov s ostrym infarktom miokarda s pod"emom segmenta ST 2017. Ros. kardiol. zhurn. 2018; 23 (5): 103–58 (in Russian).]
3. Эрлих А.Д. Шестимесячные исходы у пациентов с острым коронарным синдромом, включенных в российский регистр РЕКОРД-3. Рос. кардиол. журн. 2017; 22 (11): 8–14.
[Erlikh A.D. Shestimesiachnye iskhody u patsientov s ostrym koronarnym sindromom, vkliuchennykh v rossiiskii registr REKORD-3. Ros. kardiol. zhurn. 2017; 22 (11): 8–14 (in Russian).]
4. Rehabilitation after cardiovascular diseases, with special emphasis on developing countries. A report of a WHO Committee. World Health Organ. Tech Rep Ser 1993; 831: 1–122.
5. Аронов Д.М., Бубнова М.Г., Барбараш О.Л. и др. Острый инфаркт миокарда с подъемом сегмента ST электрокардиограммы: реабилитация и вторичная профилактика. Российские клинические рекомендации. CardioСоматика. 2014 (Прил к №1): 5–41.
[Aronov D.M., Bubnova M.G., Barbarash O.L. et al. Ostryi infarkt miokarda s pod"emom segmenta ST elektrokardiogrammy: reabilitatsiia i vtorichnaia profilaktika. Rossiiskie klinicheskie rekomendatsii. Cardiosomatics. 2014 (Pril k №1): 5–41 (in Russian).]
6. Smith SC, Benjamin EJ, Bonow RO et al. AHA/ACCF secondary prevention and risk reduction therapy for patients with coronary and other atherosclerotic vascular disease: 2011 update: a guideline from the American Heart Association and American College of Cardiology Foundation endorsed by the World Heart Federation and the Preventive Cardiovascular Nurses Association. J Am Coll Cardiol 2011; 58 (23): 2432–46. DOI: 10.1016/j.jacc.2011.10.824
7. Leon AS, Franklin BA, Costa F et al. Cardiac rehabilitation and secondary prevention of coronary heart disease: an American Heart Association scientific statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity), in collaboration with the American association of Cardiovascular and Pulmonary Rehabilitation. Circulation 2005; 111 (3): 369–76. DOI: 10.1161/01.CIR.0000151788.08740.5C
8. Juocevicius A, Oral A, Lukmann A et al. Evidence-based position paper on Physical and Rehabilitation Medicine (PRM) professional practice for people with cardiovascular conditions. The European PRM position (UEMS PRM Section). Eur J Phys Rehabil Med 2018; 54 (4): 634–43. DOI: 10.23736/S1973-9087.18.05310-8
9. Jolliffe JA, Rees K, Taylor RS et al. Exercise-based rehabilitation for coronary heart disease. Cochrane Database Syst Rev 2001; 1: CD001800. DOI: 10.1002/14651858.CD001800
10. Giannuzzi P, Saner H, Björnstad H et al, Working Group on Cardiac Rehabilitation and Exercise Physiology of the European Society of Cardiology. Secondary prevention through cardiac rehabilitation: position paper of the Working Group on Cardiac Rehabilitation and Exercise Physiology of the European Society of Cardiology. Eur Heart J 2003; 24 (13): 1272–8.
11. Committee on Exercise and Cardiac Rehabilitation of the Council on Clinical Cardiology. Core components of cardiac rehabilitation/secondary prevention programs. A statement for health professionals by the Committee on Exercise and Cardiac Rehabilitation of the Council on Clinical Cardiology. Circulation 2000; 102: 1069–73.
12. Taylor RS, Brown A, Ebrahim S et al. Exercise-based rehabilitation for patients with coronary heart disease: systematic review and meta-analysis of randomized controlled trials. Am J Med 2004; 116 (10): 682–92. DOI: 10.1016/j.amjmed.2004.01.009
13. Neubeck L, Lowres N, Benjamin EJ et al. The mobile revolution – using smartphone apps to prevent cardiovascular disease. Nat Rev Cardiol 2015; 12 (6): 350–60. DOI: 10.1038/nrcardio.2015.34
14. Иванова Г.Е. Медицинская реабилитация в России. Перспективы развития. Consilium Medicum. 2016; 18 (2.1): 9–13.
[Ivanova G.E. Medical rehabilitation in Russia. Development prospects. Consilium Medicum. 2016; 18 (2.1): 9–13 (in Russian).]
15. Bjarnason-Wehrens B, McGee H, Zwisler AD et al, Cardiac Rehabilitation Section European Association of Cardiovascular Prevention and Rehabilitation. Cardiac rehabilitation in Europe: results from the European Cardiac Rehabilitation Inventory Survey. Eur J Cardiovasc Prev Rehabil 2010; 17 (4): 410–8. DOI: 10.1097/HJR.0b013e328334f42d
16. Conraads VM, Deaton C, Piotrowicz E et al. Adherence of heart failure patients to exercise: barriers and possible solutions: a position statement of the Study Group on Exercise Training in Heart Failure of the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail 2012; 14 (5): 451–8. DOI: 10.1093/eurjhf/hfs048
17. Piotrowicz E. How to do: telerehabilitation in heart failure patients. Cardiol J 2012; 19 (3): 243–8.
18. Shaw DK, Heggestad-Hereford JR, Southard DR, Sparks KE. American Association of Cardiovascular and Pulmonary Rehabilitation telemedicine position statement. J Cardiopulm Rehabil 2001; 21: 261–2.
19. Burke LE, Ma J, Azar KM et al. Current science on consumer use of mobile health for cardiovascular disease prevention a scientific statement from the American Heart Association. Circulation 2015; 132 (12): 1157–213. DOI: 10.1161/CIR.0000000000000232
20. Smart N, Haluska B, Jeffriess L, Marwick TH. Predictors of sustained response to exercise training in patients with chronic heart failure: a telemonitoring study. Am Heart J 2005; 150 (6): 1240–7. DOI: 10.1016/j.ahj.2005.01.035
21. Fletcher GF, Chiaramida AJ, LeMay MR et al. Telephonically-monitored home exercise early after coronary artery bypass surgery. Chest 1984; 86 (2): 198–202.
22. Piotrowicz E, Piepoli MF, Jaarsma T et al. Telerehabilitation in heart failure patients: the evidence and the pitfalls. Int J Cardiol 2016; 220: 408–13. DOI: 10.1016/j.ijcard.2016.06.277
23. Crawford MH, Bernstein SJ, Deedwania PC et al. ACC/AHA guidelines for ambulatory electrocardiography: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the Guidelines for Ambulatory Electrocardiography). Developed in collaboration with the North American Society for Pacing and Electrophysiology. J Am Coll Cardiol 1999; 34 (3): 912–48.
24. Kadish AH, Buxton AE, Kennedy HL et al. ACC/AHA clinical competence statement on electrocardiography and ambulatory electrocardiography. A report of the ACC/AHA/ACP-ASIM Task force on clinical competence (ACC/AHA Committee to develop a clinical competence statement on electrocardiography and ambulatory electrocardiography) endorsed by the International Society for Holter and noninvasive electrocardiology. J Am Circulation 2001; 104 (25): 3169–78.
25. Lobodzinski SS. ECG patch monitors for assessment of cardiac rhythm abnormalities. Prog Cardiovasc Dis 2013; 56 (2): 224–9. DOI: 10.1016/j.pcad.2013.08.006
26. Lobodzinski SS, Laks MM. New devices for very long-term ECG monitoring. Cardiol J 2012; 19 (2): 210–4.
27. Rosenberg MA, Samuel M, Thosani A, Zimetbaum PJ. Use of a noninvasive continuous monitoring device in the management of atrial fibrillation: a pilot study. Pacing Clin Electrophysiol 2013; 36 (3): 328–33. DOI: 10.1111/pace.12053
28. Turakhia MP, Hoang DD, Zimetbaum P et al. Diagnostic utility of a novel leadless arrhythmia monitoring device. Am J Cardiol 2013; 112 (4): 520–4. DOI: 10.1016/j.amjcard.2013.04.017
29. Ajami S, Teimouri F. Features and application of wearable biosensors in medical care. J Res Med Sci 2015; 20 (12): 1208–15. DOI: 10.4103/1735-1995.172991
30. Lobodzinski SS, Laks MM. Comfortable textile-based electrocardiogram systems for very long-term monitoring. Cardiol J 2008; 15 (5): 477–80.
31. Perez de Isla L, Lennie V, Quezada M et al. New generation dynamic, wireless and remote cardiac monitorization platform: a feasibility study. Int J Cardiol 2011; 153 (1): 83–5. DOI: 10.1016/j.ijcard.2011.08.074
32. Task Force members, Brignole M, Vardas P, Hoffman E et al; Document Reviewers, Lip GY, Almendral J, Kirchhof P, Botto GL; EHRA Scientific Documents Committee. Indications for the use of diagnostic implantable and external ECG loop recorders. Europace 2009; 11 (5): 671–87. DOI: 10.1093/europace/eup097
33. Locati ET, Moya A, Oliveira M et al. External prolonged electrocardiogram monitoring in unexplained syncope and palpitations: results of the SYNARR-Flash study. Europace 2016; 18 (8): 1265–72. DOI: 10.1093/europace/euv311
34. Haberman ZC, Jahn RT, Bose R et al. Wireless smartphone ECG enables large-scale screening in diverse populations. J Cardiovasc Electrophysiol 2015; 26 (5): 520–6. DOI: 10.1111/jce.12634
35. Rothman SA, Laughlin JC, Seltzer J et al. The diagnosis of cardiac arrhythmias: a prospective multicenter randomized study comparing mobile cardiac outpatient telemetry versus standard loop event monitoring. J Cardiovasc Electrophysiol 2007; 18 (3): 241–7.
36. Tsang JP, Mohan S. Benefits of monitoring patients with mobile cardiac telemetry (MCT) compared with the Event or Holter monitors. Med Devices (Auckl) 2013; 7: 1–5. DOI: 10.2147/MDER.S54038
37. Papouchado M, Walker PR, James MA, Clarke LM. Fundamental differences between the standard 12-lead electrocardiograph and the modified (Mason-Likar) exercise lead system. Eur Heart J 1987; 8 (7): 725–33.
38. Steinberg JS, Varma N, Cygankiewicz I et al. Согласованное заключение экспертов ISHNE-HRS 2017 по амбулаторному мониторированию ЭКГ и наружному мониторированию деятельности сердца/телеметрии. Кардиология: новости, мнения, обучение. 2018; 1: 16–64.
[Steinberg JS, Varma N, Cygankiewicz I et al. Soglasovannoe zakliuchenie ekspertov ISHNE-HRS 2017 po ambulatornomu monitorirovaniiu EKG i naruzhnomu monitorirovaniiu deiatel'nosti serdtsa/telemetrii. Kardiologiia: novosti, mneniia, obuchenie. 2018; 1: 16–64 (in Russian).]
39. Piette JD, List J, Rana GK et al. Mobile health devices as tools for worldwide cardiovascular risk reduction and disease management. Circulation 2015; 132 (21): 2012–27. DOI: 10.1161/CIRCULATIONAHA.114.008723
40. Курдгелия Т.М., Бокерия О.Л. Мобильные технологии в кардиологии. Современная наука: актуальные проблемы теории и практики. Сер.: Естественные и технические науки. 2016; 11: 85–92.
[Kurdgeliia T.M., Bokeriia O.L. Mobil'nye tekhnologii v kardiologii. Sovremennaia nauka: aktual'nye problemy teorii i praktiki. Ser.: Estestvennye i tekhnicheskie nauki. 2016; 11: 85–92 (in Russian).]
41. Widmer RJ, Allison TG, Lerman LO, Lerman A. Digital health intervention as an adjunct to cardiac rehabilitation reduces cardiovascular risk factors and rehospitalizations. J Cardiovasc Transl Res 2015; 8 (5): 283–92. DOI: 10.1007/s12265-015-9629-1
42. Piotrowicz E, Baranowski R, Bilinska M et al. A new model of home-based telemonitored cardiac rehabilitation in patients with heart failure: effectiveness, quality of life, and adherence. Eur J Heart Fail 2010; 12 (2): 164–71. DOI: 10.1093/eurjhf/hfp181
43. Wootton R. Twenty years of medicine in chronic disease management – an evidence synthesis. J Telemed Telecare 2012; 18 (4): 211–20. DOI: 10.1258/jtt.2012.120219
44. Piotrowicz E, Korzeniowska-Kubacka I, Chrapowicka A et al. Feasibility of home-based cardiac telerehabilitation: results of TeleInterMed study. Cardiol J 2014; 21 (5): 539–46. DOI: 10.5603/CJ.a2014.0005
45. Hwang R, Bruning J, Morris NR et al. Home-based telerehabilitation is not inferior to a centre-based program in patients with chronic heart failure: a randomised trial. J Physiother 2017; 63 (2): 101–7. DOI: 10.1016/j.jphys.2017.02.017
46. Frederix I, Hansen D, Coninx K et al. Medium-term effectiveness of a comprehensive internet-based and patient-specific telerehabilitation program with text messaging support for cardiac patients: randomized controlled trial. J Med Internet Res 2015; 17 (7): e185. DOI: 10.2196/jmir.4799
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51. Shaw DK, Sparks KE, Jennings HS. 3rd. Transtelephonic exercise monitoring: a review. J Cardiopulm Rehabil 1998; 18 (4): 263–70.
52. Zutz A, Ignaszewski A, Bates J, Lear SA. Utilization of the internet to deliver cardiac rehabilitation at a distance: a pilot study. Telemed J E Health 2007; 13 (3): 323–30. DOI: 10.1089/tmj.2006.0051
53. Piotrowicz E, Piotrowicz R. Cardiac telerehabilitation: current situation and future challenges. Eur J Prev Cardiol 2013; 20 (2 Suppl.): 12–6. DOI: 10.1177/2047487313487483c
54. Varma N, Epstein AE, Irimpen A et al. Efficacy and safety of automatic remote monitoring for implantable cardioverter-defibrillator follow-up: the Lumos-Tsafely reduces routine office device follow-up (TRUST) trial. Circulation 2010; 122 (4): 325–32. DOI: 10.1161/CIRCULATIONAHA.110.937409
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[Slotwiner D, Varma N, Akar JG et al. Sovmestnoe ekspertnoe zakliuchenie Amerikanskogo obshchestva serdechnogo ritma (HRS) po udalennoi telemetrii i monitoringu serdechno-sosudistykh implantiruemykh elektronnykh ustroistv. Vestn. aritmologii 2015; 82: 43–72 (in Russian).]
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[Popyl'kova O.V., Durmanov S.S., Bazylev V.V. Opyt raboty seti "satellitnykh klinik' v sisteme udalennogo monitoringa patsientov s implantirovannymi kardioverterami-defibrilliatorami. Annaly aritmologii. 2016; 13 (3): 183–8 (in Russian).]
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[Liamina N.P., Kotel'nikova E.V. Mobil'nye tekhnologii kak instrument integratsii programm kardiologicheskoi reabilitatsii v sistemu dinamicheskogo nabliudeniia patsientov s khronicheskoi serdechnoi nedostatochnost'iu. Vestn. vosstanovit. meditsiny. 2017; 5: 25–32 (in Russian).]
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46. Frederix I, Hansen D, Coninx K et al. Medium-term effectiveness of a comprehensive internet-based and patient-specific telerehabilitation program with text messaging support for cardiac patients: randomized controlled trial. J Med Internet Res 2015; 17 (7): e185. DOI: 10.2196/jmir.4799
47. Inglis SC, Clark RA, McAlister FA et al. Which components of heart failure programmes are effective? A systematic review and meta-analysis of the outcomes of structured telephone support or telemonitoring as the primary component of chronic heart failure management in 8323 patients: Abridged Cochrane Review. Eur J Heart Fail 2011; 13 (9): 1028–40. DOI: 10.1093/eurjhf/hfr039
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51. Shaw DK, Sparks KE, Jennings HS. 3rd. Transtelephonic exercise monitoring: a review. J Cardiopulm Rehabil 1998; 18 (4): 263–70.
52. Zutz A, Ignaszewski A, Bates J, Lear SA. Utilization of the internet to deliver cardiac rehabilitation at a distance: a pilot study. Telemed J E Health 2007; 13 (3): 323–30. DOI: 10.1089/tmj.2006.0051
53. Piotrowicz E, Piotrowicz R. Cardiac telerehabilitation: current situation and future challenges. Eur J Prev Cardiol 2013; 20 (2 Suppl.): 12–6. DOI: 10.1177/2047487313487483c
54. Varma N, Epstein AE, Irimpen A et al. Efficacy and safety of automatic remote monitoring for implantable cardioverter-defibrillator follow-up: the Lumos-Tsafely reduces routine office device follow-up (TRUST) trial. Circulation 2010; 122 (4): 325–32. DOI: 10.1161/CIRCULATIONAHA.110.937409
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Авторы
И.Е.Мишина*1, А.А.Гудухин1, А.М.Сарана2,3, С.П.Уразов4
1 ФГБОУ ВО «Ивановская государственная медицинская академия» Минздрава России. 153012, Россия, Иваново, Шереметевский пр-т, д. 8;
2 ФГБОУ ВО «Санкт-Петербургский государственный университет». 199034, Россия, Санкт-Петербург, Университетская наб., д. 7/9;
3 Комитет по здравоохранению Правительства Санкт-Петербурга. 191011, Россия, Санкт-Петербург, ул. Малая Садовая, д. 1
4 СПбГБУЗ «Городская больница №40 Курортного района». 197706, Россия, Санкт-Петербург, Сестрорецк, ул. Борисова, д. 9
*mishina-irina@mail.ru
1 Ivanovo State Medical Academy of the Ministry of Health of the Russian Federation. 8, Sheremetevskii dr., Ivanovo, 153000, Russian Federation;
2 Saint Petersburg State University. 7/9, Universitetskaia nab., Saint Petersburg, 199034, Russian Federation;
3 Public Health Care Committee Saint Petersburg Government. 1, Malaia Sadovaia st., Saint Petersburg, 191011, Russian Federation
4 City Hospital №40 of the Kurortny District. 9, Borisova st., Saint Petersburg, Sestroretsk, 197706, Russian Federation
*mishina-irina@mail.ru
1 ФГБОУ ВО «Ивановская государственная медицинская академия» Минздрава России. 153012, Россия, Иваново, Шереметевский пр-т, д. 8;
2 ФГБОУ ВО «Санкт-Петербургский государственный университет». 199034, Россия, Санкт-Петербург, Университетская наб., д. 7/9;
3 Комитет по здравоохранению Правительства Санкт-Петербурга. 191011, Россия, Санкт-Петербург, ул. Малая Садовая, д. 1
4 СПбГБУЗ «Городская больница №40 Курортного района». 197706, Россия, Санкт-Петербург, Сестрорецк, ул. Борисова, д. 9
*mishina-irina@mail.ru
________________________________________________
1 Ivanovo State Medical Academy of the Ministry of Health of the Russian Federation. 8, Sheremetevskii dr., Ivanovo, 153000, Russian Federation;
2 Saint Petersburg State University. 7/9, Universitetskaia nab., Saint Petersburg, 199034, Russian Federation;
3 Public Health Care Committee Saint Petersburg Government. 1, Malaia Sadovaia st., Saint Petersburg, 191011, Russian Federation
4 City Hospital №40 of the Kurortny District. 9, Borisova st., Saint Petersburg, Sestroretsk, 197706, Russian Federation
*mishina-irina@mail.ru
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