Remote Monitoring of Heart Disease Patients: Clinical and Technological Implications of Telemedicine
DOI:
https://doi.org/10.36557/2674-8169.2025v7n4p241-254Keywords:
Heart disease. Monitoring. Telemedicine.Abstract
Remote monitoring of cardiac patients through telemedicine has proven to be an effective tool in the management of cardiovascular diseases, offering benefits such as continuous assessment of vital parameters, reduced hospitalizations and costs, and increased adherence to treatment. This article addresses the clinical and technological implications of this approach, highlighting its benefits, challenges, and impact on the management of cardiac diseases. The study was conducted through a search in the Medline/PubMed, The Journal of the American Medical Association (JAMA), and Scientific Electronic Library Online (Scielo) databases. The research question and strategy used were based on the PICO model. Clinical trials, meta-analyses, randomized controlled trials, full articles, books, and documents published in English, Spanish, and Portuguese in the last 5 years were included. A total of 287 articles were initially found. After analysis and elimination of duplicates, 202 references were analyzed by title and abstract, of which 123 were included for full reading. After this stage, 79 references were excluded. In the end, 18 studies were considered eligible. The available evidence demonstrates that telehealth is effective in the fields of prevention, diagnosis and treatment of heart disease, leading to positive clinical implications in the context of such diseases.
Downloads
References
AL-ARKEE, S. et al. Mobile Apps to Improve Medication Adherence in Cardiovascular Disease: Systematic Review and Meta-analysis. Journal of Medical Internet Research, v. 23, n. 5, 25 maio 2021.
AUGUSTO, T. et al. Características Clínicas e Manejo de Pacientes Avaliados por Teleconsulta Cardiológica na Região Brasileira com Maior Número de Cidades Isoladas. v. 120, n. 5, 1 abr. 2023.
ALVES, B. / O. / O.-M. Cerca de 400 mil pessoas morreram em 2022 no Brasil por problemas cardiovasculares | Biblioteca Virtual em Saúde MS. Disponível em: https://bvsms.saude.gov.br/cerca-de-400-mil-pessoas-morreram-em-2022-no-brasil-por-problemas-cardiovasculares/.
BAE, J.-W. et al. mHealth Interventions for Lifestyle and Risk Factor Modification in Coronary Heart Disease: Randomized Controlled Trial. JMIR mHealth and uHealth, v. 9, n. 9, p. e29928, 24 set. 2021.
BEKELMAN, D. B. et al. Nurse and Social Worker Palliative Telecare Team and Quality of Life in Patients With COPD, Heart Failure, or Interstitial Lung Disease: The ADAPT Randomized Clinical Trial. JAMA, v. 331, n. 3, p. 212–223, 16 jan. 2024.
CESTARI, V. R. F. et al. Benchmarking of mobile apps on heart failure. Revista Brasileira de Enfermagem, v. 75, n. 1, 2022.
CHAN, M. Y. et al. Remote Postdischarge Treatment of Patients With Acute Myocardial Infarction by Allied Health Care Practitioners vs Standard Care. v. 6, n. 7, p. 830–830, 1 jul. 2021.
DING, H. et al. The Effects of Telemonitoring on Patient Compliance With Self-Management Recommendations and Outcomes of the Innovative Telemonitoring Enhanced Care Program for Chronic Heart Failure: Randomized Controlled Trial. Journal of Medical Internet Research, v. 22, n. 7, p. e17559, 2020.
DOMINGOS, I. G. et al. Terá a teleconsulta impacto na morbimortalidade dos doentes com patologias crónicas? Revista Portuguesa de Clínica Geral, v. 38, n. 2, p. 172–181, 29 abr. 2022.
ELIAS, S. et al. Shared Decision-Making in Cardiovascular Risk Factor Management. JAMA network open, v. 7, n. 3, p. e243779–e243779, 26 mar. 2024.
KUAN, P. X. et al. Efficacy of telemedicine for the management of cardiovascular disease: a systematic review and meta-analysis. The Lancet Digital Health, v. 4, n. 9, p. e676–e691, 1 set. 2022.
LIU, S. et al. Effectiveness of eHealth Self-management Interventions in Patients With Heart Failure: Systematic Review and Meta-analysis. Journal of Medical Internet Research, v. 24, n. 9, p. e38697, 26 set. 2022.
LISBOA, K. O. et al. A história da telemedicina no Brasil: desafios e vantagens. Saúde e Sociedade, v. 32, n. 1, 2023.
LUCAS LEAL FRAGA et al. Combinação de Ferramentas de Telecardiologia para Estratificação de Risco Cardiovascular na Atenção Primária: Dados do Estudo PROVAR+. Arquivos Brasileiros de Cardiologia, v. 121, n. 2, 1 jan. 2024.
NAGATOMI, Y. et al. Home‐based cardiac rehabilitation using information and communication technology for heart failure patients with frailty. ESC Heart Failure, v. 9, n. 4, 9 maio 2022.
ROHDE, L. E. et al. Multifaceted Strategy Based on Automated Text Messaging After a Recent Heart Failure Admission: The MESSAGE-HF Randomized Clinical Trial. JAMA cardiology, v. 9, n. 2, p. 105–113, jan. 2024.
TAJEU, G. S.; JOYNT, K. E.; BREWER, L. C. Million Hearts Cardiovascular Disease Risk Reduction Model. JAMA, v. 330, n. 15, p. 1430–1430, 17 out. 2023.
SONG, Y. et al. Effect of Smartphone-Based Telemonitored Exercise Rehabilitation among Patients with Coronary Heart Disease. Journal of Cardiovascular Translational Research, v. 13, n. 4, p. 659–667, 9 dez. 2019.
YUAN, N. et al. Patient Use and Clinical Practice Patterns of Remote Cardiology Clinic Visits in the Era of COVID-19. JAMA Network Open, v. 4, n. 4, p. e214157, 5 abr. 2021.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Mayara Ingridy Botelho Rodrigues de Menezes , Demetrius de Souza e Silva, Thiago Matheus Barbosa Rodrigues , Catarine Roque da Silva, Lúcio Mauro Boaventura Latorre, Gustavo Fuciji Machado Santana , Ana Caroline Cavalcante de Sousa , Luana Domingues Cipolli, Melissa Sinhorini Ghidoni, Rodrigo Carneiro Lima, Katharine Cecília Silva Ribeiro , José da Silva Júnior
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors are copyright holders under a CCBY 4.0 license.
