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Telecardiology Interventions for Patients With Cardiovascular Disease: A Systematic Review on Characteristics and Effects Publisher Pubmed



Mohammadzadeh N1 ; Rezayi S1 ; Tanhapour M1 ; Saeedi S2, 3
Authors
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Authors Affiliations
  1. 1. Department of Health Information Management, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Clinical Research Development Unit of Farshchian Heart Center, Hamadan University of Medical Sciences, Hamadan, Iran
  3. 3. Health Information Management and Medical Informatics Department, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran

Source: International Journal of Medical Informatics Published:2022


Abstract

Introduction: The prevalence and mortality of cardiovascular diseases are high worldwide. Telecardiology can be used to diagnose and treat these diseases. This paper aimed to review the effectiveness (positive and negative) of implemented telecardiology services in terms of clinical, economic, and patient-reported aspects. Methods: A comprehensive search was conducted in Medline (through PubMed), Scopus, ISI web of science, and IEEE Xplore databases from inception to April 7, 2021. the studies that examined the effectiveness of telecardiology interventions were included. Results: Fifty studies were included in this systematic review. Most investigations (22%) were conducted in the US. In 22% of studies, telecardiology intervention was used for patients with heart failure. Telecardiology has been used in most studies for tele-monitoring (n = 21, 42%) and tele-consultation (n = 17, 34%) and in 29 studies (58%), was applied for ECG transmission. The highest rate of effects reported by studies was clinical. Thirty-five studies (70%) reported the clinical effects; twenty-one studies reported the positive effects for the economic category, and fifteen studies reported the positive effect for patient-reported class. The most positive clinical effects of telecardiology were early diagnosis, early treatment, and mortality reduction. The most positive effect of the economic class was the reduction of health care costs. The most effects of the patient-reported category were improving the patient's quality of life and patient satisfaction. Conclusion: Telecardiology can help early diagnosis and treatment of cardiovascular diseases. It also has great potential in reducing health care costs and increasing quality of life and patient satisfaction. © 2021 Elsevier B.V.
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1. Telemedicine: A Systematic Review of Economic Evaluations, Medical Journal of the Islamic Republic of Iran (2017)
2. Advantages and Challenges of Telecardiology and Providing Solutions for Its Successful Implementation: A Scoping Review, International Cardiovascular Research Journal (2022)
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