Table 1.
Group | Example | Description | |
---|---|---|---|
Real-time online assessment | Virtual video visits of patients (Teleconsultation) | Virtual outpatient's clinic | Patient at home directly connected via online video link with the cardiologist in the hospital |
Second opinion offered by cardiologists to other health professionals (Teleexpertise) | Ambulance crew for patients with chest pain and dynamic ECG changes | Cardiologist on-call confirming the presumption of STEMI and indication to emergency catheterization | |
GPs in medical unit/ surgery requesting medical advice for acute patients | In-hospital on-call cardiologists providing skilled support for undiagnosed and inconclusive cases | ||
General medicine physicians in small hospitals seeking medical expertise | Performing clinical examination via video link and echocardiographic assessment to inpatients | ||
Online video conference MDT meetings with clinical and interventional cardiologists, cardiothoracic surgeons, radiologists. | Experts of different specialities assessing difficult cases and taking management decisions | ||
Remote monitoring | Wearable devices and implantable biosensors (Telemonitoring) | Heart failure monitoring | Weight, HR, LAP |
Palpitations /syncope monitoring | ECG recording/ events record/ ILR | ||
Systemic hypertension | BP curve |
ECG, electrocardiogram; MDT, multidisciplinary team; HR, heart rate; LAP, left atrial pressure; BP, blood pressure; GP, general practitioner; ILR, implantable loop recorder.