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Albulushi A, Al Kindi DI, Moawwad N, Kamel AM, Khan A, Moustafa MA, Al Kalbani A. Digital health technologies in enhancing patient and caregiver engagement in heart failure management: Opportunities and challenges. Int J Cardiol 2024; 408:132116. [PMID: 38703898 DOI: 10.1016/j.ijcard.2024.132116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/20/2024] [Revised: 04/04/2024] [Accepted: 04/29/2024] [Indexed: 05/06/2024]
Abstract
The management of heart failure has undergone significant evolution, advancing from the initial utilization of digitalis and diuretics to the contemporary practice of personalized medicine and sophisticated device therapy. Despite these advancements, the persistent challenge of high hospitalization and readmission rates underscores an urgent need for innovative solutions. This manuscript explores how the integration of digital health technologies into interventional cardiology marks a paradigm shift in the management of heart failure. These technologies are no longer mere adjuncts but have become foundational to a modern approach, providing tools for continuous monitoring, patient education, and improved outcomes post-intervention. Through an examination of current trends, this perspective article highlights the transformative impact of wearable technologies, telehealth platforms, and advanced analytical tools in reshaping patient engagement and enabling proactive care strategies. Case studies illustrate the practical advantages, including enhanced medication adherence, early detection of heart failure signs, and a reduction in healthcare facility burdens. Central to this new digital health landscape is the Information Technology Management (ITM) system, a framework poised to revolutionize patient and caregiver engagement and pave the way for the future of interventional cardiology. This manuscript delineates the ITM system's innovative architecture and its consequential role in refining current and prospective cardiological interventions.
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Affiliation(s)
- Arif Albulushi
- Division of Adult Cardiology, National Heart Center, The Royal Hospital, Muscat, Oman.
| | - Dawoud I Al Kindi
- Division of Adult Cardiology, National Heart Center, The Royal Hospital, Muscat, Oman
| | - Nader Moawwad
- Division of Adult Cardiology, National Heart Center, The Royal Hospital, Muscat, Oman
| | - Adel M Kamel
- Division of Adult Cardiology, National Heart Center, The Royal Hospital, Muscat, Oman
| | - Asif Khan
- Division of Adult Cardiology, National Heart Center, The Royal Hospital, Muscat, Oman
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Elendu C, Amaechi DC, Amaechi EC, Chima-Ogbuiyi NL, Afuh RN, Arrey Agbor DB, Abdi MA, Nwachukwu NO, Oderinde OO, Elendu TC, Elendu ID, Akintunde AA, Onyekweli SO, Omoruyi GO. Diagnostic criteria and scoring systems for thyroid storm: An evaluation of their utility - comparative review. Medicine (Baltimore) 2024; 103:e37396. [PMID: 38552097 PMCID: PMC10977538 DOI: 10.1097/md.0000000000037396] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/01/2023] [Accepted: 02/06/2024] [Indexed: 04/02/2024] Open
Abstract
A thyroid storm is a life-threatening endocrine emergency characterized by severe hyperthyroidism and many systemic manifestations. Prompt recognition and treatment are essential for patient survival. This study evaluates the utility of existing diagnostic criteria and scoring systems for thyroid storm. A comprehensive literature review encompassed articles published up to December 2023. Various diagnostic criteria and scoring systems, such as the Burch-Wartofsky Point Scale and the Japanese Thyroid Association criteria, were critically assessed based on their sensitivity, specificity, and clinical applicability. Our findings reveal that existing diagnostic criteria and scoring systems, although valuable tools, exhibit limitations. They may lack sensitivity in identifying milder cases of thyroid storm or fail to differentiate it from other critical conditions. Furthermore, some criteria rely heavily on subjective clinical Judgment, which can vary among healthcare providers. Future research should focus on refining existing criteria and developing more objective and universally applicable diagnostic tools to address these limitations. Incorporating advanced laboratory markers and modern imaging techniques may enhance diagnostic accuracy. Additionally, a standardized scoring system approach could improve clinical practice consistency. In conclusion, while current diagnostic criteria and scoring systems provide a foundation for identifying thyroid storm, their utility has shortcomings. Advancements in diagnostic methods and a collaborative effort to establish standardized criteria are imperative to enhance the accuracy and reliability of thyroid storm diagnosis, ultimately improving patient outcomes.
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Mannarino S, Calcaterra V, Fini G, Foppiani A, Sanzo A, Pisarra M, Infante G, Marsilio M, Raso I, Santacesaria S, Zuccotti G. A pediatric telecardiology system that facilitates integration between hospital-based services and community-based primary care. Int J Med Inform 2024; 181:105298. [PMID: 37972482 DOI: 10.1016/j.ijmedinf.2023.105298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2023] [Revised: 10/25/2023] [Accepted: 11/12/2023] [Indexed: 11/19/2023]
Abstract
INTRODUCTION Telecardiology has emerged as a vital field within telemedicine, fostering collaboration between hospital and community medicine. This pilot study introduces an innovative pediatric telecardiology system, comprising a telecardiology system seamlessly integrated with a hospital telemedicine platform. A smooth flow of ECG execution, transmission, and reporting between Primary Care Pediatrician clinics and the hospital was tested as the primary objective. User experience surveys were also considered. METHODS The study involved three Primary Care Pediatrician clinics, and the enrollment of children took place consecutively from January to July 2023. We integrated a digital electrocardiographic signal acquisition unit and online information transmission-capable tablets, that were provided to the pediatricians, with a telemedicine multitenant platform that facilitated the transmission of the patient's ECG data from the community to the Hospital Pediatric Cardiologist. RESULTS A total of 158 children (80 M/78F, 8.9 ± 2.8 yrs) underwent ECG recording (78.5 % medical certificates, 21.5 % presence of symptoms) The transmission and reporting of ECGs were successfully completed in all cases, without technical issues. Normal findings on the ECG were demonstrated in 94.9 % of children. 70.8 % of respondents completed all parts of the survey. Respondents had a high level of education (90 %) and demonstrated excellent or good competence in using digital technologies (89 %). 51 % of respondents were not familiar with the term "Telemedicine" and 81 % of the cases had no previous telemedicine experience. 90 % of users were very satisfied or satisfied with the service. Connection problems (2.8 %) and concerns about the service's reliability compared to standard care (3.7 %) were mentioned as possible limitations of the telecardiology. CONCLUSIONS Our pediatric telecardiology system offers a valuable diagnostic tool to enhance patient management in the community.
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Affiliation(s)
- Savina Mannarino
- Pediatric Cardiology Unit, Buzzi Children's Hospital, 20154 Milan, Italy
| | - Valeria Calcaterra
- Pediatric and Adolescent Unit, Department of Internal Medicine, University of Pavia, 27100 Pavia, Italy; Pediatric Department, Buzzi Children's Hospital, 20154 Milan, Italy.
| | - Giulia Fini
- Pediatric Cardiology Unit, Buzzi Children's Hospital, 20154 Milan, Italy
| | - Andrea Foppiani
- International Center for the Assessment of Nutritional Status (ICANS), Department of Food, Environmental and Nutritional Sciences (DeFENS), University of Milan, 20133 Milan, Italy; IRCCS Auxologico, Clinical Nutrition Unit, Department of Endocrine and Metabolic Diseases, Milan 20145, Italy
| | - Antonio Sanzo
- Arrhythmia and Electrophysiology Unit, Division of Cardiology, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy
| | - Martina Pisarra
- Department of Economics, Management and Quantitative Methods (DEMM), Università degli Studi di Milano, 20122 Milan, Italy
| | - Gabriele Infante
- Department of Economics, Management and Quantitative Methods (DEMM), Università degli Studi di Milano, 20122 Milan, Italy
| | - Marta Marsilio
- Department of Economics, Management and Quantitative Methods (DEMM), Università degli Studi di Milano, 20122 Milan, Italy
| | - Irene Raso
- Pediatric Cardiology Unit, Buzzi Children's Hospital, 20154 Milan, Italy
| | - Sara Santacesaria
- Pediatric Cardiology Unit, Buzzi Children's Hospital, 20154 Milan, Italy
| | - Gianvincenzo Zuccotti
- Pediatric Department, Buzzi Children's Hospital, 20154 Milan, Italy; Department of Biomedical and Clinical Science, University of Milan, 20157 Milan, Italy
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Skalidis I, Kachrimanidis I, Koliastasis L, Arangalage D, Antiochos P, Maurizi N, Muller O, Fournier S, Hamilos M, Skalidis E. Cardiology in the digital era: from artificial intelligence to Metaverse, paving the way for future advancements. Future Cardiol 2023; 19:755-758. [PMID: 38189213 DOI: 10.2217/fca-2023-0106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2023] [Accepted: 10/30/2023] [Indexed: 01/09/2024] Open
Abstract
Tweetable abstract Cardiology's digital revolution: AI diagnoses, ChatGPT consults, Metaverse educates. Challenges & promises explored. #CardiologyTech #DigitalHealth.
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Affiliation(s)
- Ioannis Skalidis
- Department of Cardiology, University Hospital of Heraklion & University of Crete, Heraklion, 71500, Greece
- Department of Cardiology, University Hospital of Lausanne (CHUV), Lausanne, 1005, Switzerland
| | | | | | - Dimitri Arangalage
- Department of Cardiology, University Hospital of Lausanne (CHUV), Lausanne, 1005, Switzerland
- Department of Cardiology, Bichat Hospital, AP-HP, 75018, Paris, France
| | - Panagiotis Antiochos
- Department of Cardiology, University Hospital of Lausanne (CHUV), Lausanne, 1005, Switzerland
| | - Niccolo Maurizi
- Department of Cardiology, University Hospital of Lausanne (CHUV), Lausanne, 1005, Switzerland
| | - Olivier Muller
- Department of Cardiology, University Hospital of Lausanne (CHUV), Lausanne, 1005, Switzerland
| | - Stephane Fournier
- Department of Cardiology, University Hospital of Lausanne (CHUV), Lausanne, 1005, Switzerland
| | - Michalis Hamilos
- Department of Cardiology, University Hospital of Heraklion & University of Crete, Heraklion, 71500, Greece
| | - Emmanouil Skalidis
- Department of Cardiology, University Hospital of Heraklion & University of Crete, Heraklion, 71500, Greece
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