zdmeЗдоровье мегаполисаCity Healthcare2713-2617ГБУ «НИИОЗММ ДЗМ»10.47619/2713-2617.zm.2023.v.4i3;112-119zdme-130Research ArticleОБЗОРЫREVIEWSДистанционные цифровые решения для организации лечения и наблюдения пациентов с сердечной недостаточностью за рубежомRemote Digital Solutions for Organization of Treatment and Monitoring of Patients with Heart Failure Abroadhttps://orcid.org/0000-0002-0925-5822КамынинаН. Н.KamyninaN. N.

Камынина Наталья Николаевна – д-р мед. наук, профессор, заместитель директора по научной работе

115088, г. Москва, ул. Шарикоподшипниковская, 9

Natalya N. Kamynina – Ph.D., Professor, Deputy Director for Research

9, Sharikopodshipnikovskaya ul., Moscow, 115088

https://orcid.org/0000-0003-0745-9474АндреевД. А.AndreevD. A.

Андреев Дмитрий Анатольевич – Ph. D. (Erasmus University Medical Center), ведущий научный сотрудник

115088, г. Москва, ул. Шарикоподшипниковская, 9

Dmitry A. Andreev – Ph.D. (Erasmus University Medical Center), Leading Researcher

9, Sharikopodshipnikovskaya ul., Moscow, 115088

AndreevDA@zdrav.mos.ruНаучно-исследовательский институт организации здравоохранения и медицинского менеджмента Департамента здравоохранения города МосквыResearch Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department20232810202343112119Copyright © Камынина Н.Н., Андреев Д.А., 20232023Камынина Н.Н., Андреев Д.А.Kamynina N.N., Andreev D.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.city-healthcare.com/jour/article/view/130

Введение. Сердечно-сосудистая патология занимает первое место в структуре смертности в большинстве стран мира и составляет более чем 30 % всех смертельных исходов. Постоянный мониторинг пациентов с сердечной недостаточностью (СН) играет решающую роль в мероприятиях по снижению кардиоваскулярной смертности. Совершенствование цифровых технологий в данной области будет способствовать повышению качества наблюдения и оказания медицинской помощи пациентам с СН.Цель. Обобщение результатов применения некоторых известных подходов к цифровизации медицинской помощи пациентам с СН. Материалы и методы. Исследование выполнено по результатам поиска в базах PubMed и системе Google. Научные статьи на английском языке отбирались по ключевым словам: heart failure, information technologies, remote monitoring, digital technologies и т. д. В случае необходимости также применялись запросы на русском языке по словам: «сердечная недостаточность», «распространенность» и т. д.Результаты. Изучены примеры цифровых технологий для регистрации показателей здоровья пациентов с СН. Рассмотрены вопросы организации самоконтроля над показателями здоровья, приведены примеры сенсоров и технологий искусственного интеллекта для непрерывного дистанционного наблюдения пациентов, представлены принципы цифровизации процессов достижения приверженности лечению, отражены аспекты телереабилитации.Обсуждение. Новые элементы цифрового здравоохранения предоставляют широкий набор возможностей. Хотя перечисленные в данной работе цифровые подходы являются перспективными, необходимо дополнительное изучение их эффективности в рамках контролируемых исследований и в реальной практике. Предстоит продолжить развитие концепции по организации непрерывного наблюдения больных с СН. В исследовательских программах следует принимать во внимание все возможности современных технологий с целью поиска и стандартизации оптимальных подходов.

Introduction. Cardiovascular pathology is one of the leading causes of global mortality burden, being responsible for more than 30% of all deaths. Continuous monitoring of patients with heart failure is crucial in developing measures aimed at reducing cardiovascular mortality. The advancement of digital technologies in this field will improve the quality of monitoring and treatment of patients with heart failure.Objective. The goal of the study was to summarize the results of implementation of some well-known approaches to digital healthcare for patients with heart failure.Materials and methods. The data is obtained from PubMed databases and Google search results. Scientific articles in English were selected by the following keywords: “heart failure”, “information technologies”, “remote monitoring”, “digital technologies”, etc. In some cases, the search was also conducted in еру Russian Internet segment using such keywords as “сердечная недостаточность [heart failure]”, “распространенность [prevalence]”, etc.Results. The use of digital technologies for recording health indicators in people with heart failure has been examined. The aspects of self-monitoring of health indicators are considered, examples of sensor and artificial intelligence technologies for continuous remote monitoring of patients are given, the principles of digital patient management for achieving adherence to treatment are presented, aspects of remote rehabilitation using telehealth technologies are discussed. Discussion. New elements of digital health provide a wide range of opportunities. Although the approaches listed in this paper are promising, further study of their effectiveness in controlled trials and in real practice is needed. It is necessary to continue developing the concept of continuous monitoring of patients with heart failure. Research programs should take into account all the possibilities of modern technologies in order to find and standardize the best approaches.

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The authors declare that there are no conflicts of interest present.