植入式心电装置的远程监测在老年心血管疾病中的应用

Remote Monitoring of Cardiac Implantable Electronic Devices in Cardiovascular Diseases of the Elderly

随着医疗大数据的兴起,远程医疗在临床中的应用逐渐增多。在心血管疾病领域,远程医疗的发展尤为迅速。老年患者心房颤动、心力衰竭、脑卒中等心脑血管疾病患病率高,合并症多,诊疗过程复杂,需要密切随访。心脏植入式电子装置在老年患者中植入量逐年增加,不仅使患者的疾病得到及时治疗,同时其附加的监测功能对疾病的随访发挥了重要作用。国外在该领域已发展多年,我国尚处于起步阶段。本文就植入式心电装置的远程监测在老年心血管疾病诊疗中的应用作一综述,希望能对该领域日后的发展提供一定的参考。

With the rising of medical big data,tele-medicine has become more and more popular,especially in the field of cardiology.Cardiovascular diseases(CVDs),like atrial fibrillation,chronic heart failure and stroke are reported to have higher morbidity in elderly patients,who may have more chronic diseases.Thus,more factors should be considered and close follow-ups are needed.In recent years,the number of cardiac implantable electronic devices(CIEDs)implantation is growing rapidly in elderly patients,which enormously contributes to the diagnosis and treatment of CVDs.And the function of remote monitoring in CIEDS plays an important role in long-term follow-up.It has been many years since remote monitoring was created and developed in some foreign countries,but we are still in the early stages in China.The author reviews the current situation of CIEDs remote monitoring in cardiovascular diseases of the elderly,with a view to providing some reference for the development of cardiac remote monitoring in the future.