Abstract
Virtual care has become essential to the infrastructure of cardiovascular care delivery. Although previously used as an occasional adjunct to in-person care, virtual visits are now routinely used for outpatient clinical care and remote in-hospital consultation. The inevitable suspension of all non-urgent, in-person visits during the COVID-19 pandemic has resulted in necessary modifications to the treatment and management of cardiac patients (De Simone et al. Am J Cardiovasc Dis. 2020;10(2):34–47). Team-based phone calls, asynchronous symptom checks and at-home vital sign monitoring with medical grade digital and wearable devices now provide efficient, high quality and convenient patient care.
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References
Bhatt, A & Pagliaro, J. The ideal model for telemedicine: digital health care delivery. 2020. https://advances.massgeneral.org/cardiovascular/article.aspx?id=1195
Fisher NDL, Fera LE, Dunning JR, Desai S, Matta L, Liquori V, Pagliaro J, Pabo E, Merriam M, MacRae CA, Scirica BM. Development of an entirely remote, non-physician led hypertension management program. Clin Cardiol. 2019;42(2):285–91. PMID: 30582181.
Turakhia MP. Telemedicine for management of implantable defibrillators: lessons learned and a look toward the future. Circ Arrhythm Electrophysiol. 2017;10(9):e005728.
Hale TM, Jethwani K, Kandola MS, Saldana F, Kvedar JC. A remote medication monitoring system for chronic heart failure patients to reduce readmissions: a two-arm randomized pilot study. J Med Internet Res. 2016;18(5):e91.
Peters RJG. Cardiac rehabilitation and telemedicine (and COVID-19). Neth Hear J 2020;28(9):441–2.
Cuneo BF, Olson CA, Haxel C, Howley L, Gagnon A, Benson DW, et al. Risk stratification of fetal cardiac anomalies in an underserved population using telecardiology. Obstet Gynecol. 2019;134(5):1096–103.
Kruse CS, Soma M, Pulluri D, Nemali NT, Brooks M. The effectiveness of telemedicine in the management of chronic heart disease—a systematic review. JRSM Open. 2017;8(3):2054270416681747.
Mullen-Fortino M, Rising KL, Duckworth J, Gwynn V, Sites FD, Hollander JE. Presurgical assessment using telemedicine technology: impact on efficiency, effectiveness, and patient experience of care. Telemed J E Health. 2019;25(2):137–42. https://doi.org/10.1089/tmj.2017.0133.
Shanafelt TD, Dyrbye LN, West CP. Addressing physician burnout: the way forward. JAMA. 2017;317(9):901–2.
Moazzami B, Razavi-Khorasani N, Moghadam AD, Farokhi E, Rezaei N. COVID-19 and telemedicine: immediate action required for maintaining healthcare providers well-being. J Clin Virol. 2020;126:104345.
Chan MY, KWL K, Poh S-C, et al. Remote postdischarge treatment of patients with acute myocardial infarction by allied health care practitioners vs standard care: the IMMACULATE randomized clinical trial. JAMA Cardiol. 2020;30:e206721. https://doi.org/10.1001/jamacardio.2020.6721.
Moons P, Luyckx K, Thomet C, Budts W, Enomoto J, Sluman MA, et al. Patient-reported outcomes in adults with congenital heart disease following hospitalization (from APPROACH-IS). Am J Cardiol. 2021;145:135–42.
Fasing K, Lathkar-Pradhan S, Bray K. Telemedicine: enabling patients with arrhythmias in self-care behaviors. Clin Case Rep Open Access. 2020;3(3):166.
“IHME: COVID-19 Projections.” Institute for Health Metrics and Evaluation. https://covid19.healthdata.org/united-states-of-america.
Shanafelt T, Ripp J, Trockel M. Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. JAMA. Published online 7 Apr 2020. doi:https://doi.org/10.1001/jama.2020.5893
Keesara S, Jonas A, Schulman K. Covid-19 and Health care’s digital revolution. N Engl J Med. 2020; https://www.nejm.org/doi/full/10.1056/NEJMp2005835
Oxley TJ, Mocco J, Majidi S, et al. Large-vessel stroke as a presenting feature of Covid-19 in the young. N Engl J Med. 2020;382(20):e60. https://doi.org/10.1056/NEJMc2009787.
Clerkin Kevin J, Fried Justin A, Jayant R, et al. COVID-19 and cardiovascular disease. Circulation. 2020;141(20):1648–55. https://doi.org/10.1161/CIRCULATIONAHA.120.046941.
Baldi E, Sechi GM, Mare C, et al. Out-of-hospital cardiac arrest during the Covid-19 outbreak in Italy. N Engl J Med. Published online 29 Apr 2020. doi: https://doi.org/10.1056/NEJMc2010418
Bikdeli B, Madhavan MV, Jimenez D, et al. COVID-19 and thrombotic or thromboembolic disease: implications for prevention, antithrombotic therapy, and follow-up. J Am Coll Cardiol. Published online 17 Apr 2020. doi:https://doi.org/10.1016/j.jacc.2020.04.031
Edelson DP, Sasson C, Chan PS, et al. Interim guidance for basic and advanced life support in adults, children, and neonates with suspected or confirmed COVID-19: From the Emergency Cardiovascular Care Committee and get with the Guidelines®-Resuscitation Adult and Pediatric Task Forces of the American Heart Association in Collaboration with the American Academy of Pediatrics, American Association for Respiratory Care, American College of Emergency Physicians, The Society of Critical Care Anesthesiologists, and American Society of Anesthesiologists: Supporting Organizations: American Association of Critical Care Nurses and National EMS Physicians. Circulation. 0(0). doi:https://doi.org/10.1161/CIRCULATIONAHA.120.047463
Altman M, Huang TTK, Breland JY. Design thinking in health care. Prev Chronic Dis. 2018;15:E117. Published 27 Sep 2018. doi:https://doi.org/10.5888/pcd15.180128
De Simone V, Guarise P, Guardalben S, Padovani N, Tondelli S, Sandrini D, et al. Telecardiology during the Covid-19 pandemic: past mistakes and future hopes. Am J Cardiovasc Dis. 2020;10(2):34–47.
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Pagliaro, J.A., B. Bhatt, A. (2021). Telemedicine as a Cardiovascular Center Growth Strategy: Patient Experience, Provider Satisfaction and Improved Access. In: Bhatt, A.B. (eds) Healthcare Information Technology for Cardiovascular Medicine. Health Informatics. Springer, Cham. https://doi.org/10.1007/978-3-030-81030-6_6
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