vestarВестник аритмологииJournal of Arrhythmology1561-86412658-7327НАО «Инкарт»vestar-10Research ArticleОБЗОРЫREVIEWSПЕРСПЕКТИВЫ РАЗВИТИЯ ТЕЛЕМОНИТОРИНГА ПАЦИЕНТОВFUTURE PERSPECTIVES OF TELEMONITORING OF PATIENTSЛомидзеН. Н.LomidzeN. N.noemail@neicon.ruХасановИ. Ш.KhasanovI. Sh.noemail@neicon.ruКупцовВ. В.KuptsovV. V.noemail@neicon.ruУниверситет Эрланген-Нюрнберг им. Фридриха-АлександраRussian Federation2016170420190834450Copyright © Ломидзе Н.Н., Хасанов И.Ш., Купцов В.В., 20192019Ломидзе Н.Н., Хасанов И.Ш., Купцов В.В.Lomidze N.N., Khasanov I.S., Kuptsov V.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vestar.elpub.ru/jour/article/view/10

Рассматриваются современные технологии персонального телемониторинга состояния больных, результаты многоцентровых исследований, посвященных удаленному мониторингу, обсуждаются перспективы развития и внедрения систем удаленного мониторинга в России.

Up-to-date technologies of personal telemonitoring of the patients ’ condition, the results of multicenter studies in remote monitoring are considered; future perspectives and implementation of remote monitoring systems in Russia are discussed.

хроническая сердечная недостаточностьвнезапная сердечная смертьудаленный мониторингэлектрокардиостимуляторыимплантируемые регистраторыкардиовертеры-дефибрилляторыхолтеровское мониторированиеchronic heart failuresudden cardiac deathremote monitoringcardiac pacemakersimplantable loop recorderscardioverters-defibrillatorsHolter monitoringReferencesБокерия Л.А., Гудкова Р.Г. Сердечно-сосудистая хирургия - 2009. Болезни и врожденные аномалии системы кровообращения. М.: НЦССХ им. А.Н. Бакулева РАМН 2010; 180 с.Бокерия Л.А., Гудкова Р.Г. Сердечно-сосудистая хирургия - 2009. Болезни и врожденные аномалии системы кровообращения. М.: НЦССХ им. А.Н. Бакулева РАМН 2010; 180 с.Агеев Ф.Т., Даниелян М.О., Мареев В.Ю. Больные с хронической сердечной недостаточностью в российской амбулаторной практике: особенности контингента, диагностики и лечения; по материалам исследования ЭПОХА-О-ХСН // Сердечная недостаточность 2004; 5(1): 4-7.Агеев Ф.Т., Даниелян М.О., Мареев В.Ю. Больные с хронической сердечной недостаточностью в российской амбулаторной практике: особенности контингента, диагностики и лечения; по материалам исследования ЭПОХА-О-ХСН // Сердечная недостаточность 2004; 5(1): 4-7.Cleland J.G.F., Swedberg K., Follath F. The Euro Heart Failure survey programme: a survey on the quality of care among patients with heart failure in Europe. Part 1: patient characteristics and diagnosis // Eur Heart J 2003; 24(5): 442-463.Cleland J.G.F., Swedberg K., Follath F. The Euro Heart Failure survey programme: a survey on the quality of care among patients with heart failure in Europe. Part 1: patient characteristics and diagnosis // Eur Heart J 2003; 24(5): 442-463.Hutten H., Schaldach M. Telecardiology - Optimizing the Diagnostic and Therapeutic Efficacy of the Next Implant Generation // Progress in Biomedical Research 1998; 3(1): 1-4.Hutten H., Schaldach M. Telecardiology - Optimizing the Diagnostic and Therapeutic Efficacy of the Next Implant Generation // Progress in Biomedical Research 1998; 3(1): 1-4.Stellbrink C., Filzmaier K., Mischke K., Loscher S., Hartmann A. Potential applications of Home Monitoring in pacemaker therapy - A review with emphasis on atrial fibrillation and congestive heart failure // Progress in Biomedical Research 2001; 6(2): 107-114.Stellbrink C., Filzmaier K., Mischke K., Loscher S., Hartmann A. Potential applications of Home Monitoring in pacemaker therapy - A review with emphasis on atrial fibrillation and congestive heart failure // Progress in Biomedical Research 2001; 6(2): 107-114.Wallbruck K., Stellbrink C., Santini M. et al. The Value of Permanent Follow-up of Implantable Pacemakers - First Results of a European Trial // Biomed Tech (Berl) 2002; 47 (Suppl. 1, Part 2): 950-953.Wallbruck K., Stellbrink C., Santini M. et al. The Value of Permanent Follow-up of Implantable Pacemakers - First Results of a European Trial // Biomed Tech (Berl) 2002; 47 (Suppl. 1, Part 2): 950-953.Scholten M.F., Thornton A.S., Theuns D.A. et al. Twidlers Syndrome Detected by Home Monitoring Device // PACE 2004; 27: 1151-1152.Scholten M.F., Thornton A.S., Theuns D.A. et al. Twidlers Syndrome Detected by Home Monitoring Device // PACE 2004; 27: 1151-1152.The Atrial Fibrillation Follow-up Investigation of Rhythm Management (AFFIRM) Investigators. A Comparison of Rate Control and Rhythm Control in Patients with Atrial Fibrillation // New Engl J Med 2002; 347(23): 1825-1833.The Atrial Fibrillation Follow-up Investigation of Rhythm Management (AFFIRM) Investigators. A Comparison of Rate Control and Rhythm Control in Patients with Atrial Fibrillation // New Engl J Med 2002; 347(23): 1825-1833.Varma N., Epstein A.E., Irimpen A. et al. for the TRUST Investigators. Efficacy and Safety of Automatic Remote Monitoring for Implantable Cardioverter-Defibrillator Follow-Up // Circulation 2010; 122: 325-332.Varma N., Epstein A.E., Irimpen A. et al. for the TRUST Investigators. Efficacy and Safety of Automatic Remote Monitoring for Implantable Cardioverter-Defibrillator Follow-Up // Circulation 2010; 122: 325-332.Mabo P. Home Monitoring for Pacemaker Follow-Up: The First Prospective Randomised Trial // Presentation at Cardiostim 2010, Nice Acropolis, France, June 16-19, 2010.Mabo P. Home Monitoring for Pacemaker Follow-Up: The First Prospective Randomised Trial // Presentation at Cardiostim 2010, Nice Acropolis, France, June 16-19, 2010.Elsner C.H., Sommer P., Piorkowski C. et al. A Prospective Multicenter Comparison Trial of Home Monitoring against Regular Follow-up in MADIT II Patients: Additional Visits and Cost Impact // Proceedings Computers in Cardiology, Valencia 2006; 33: 241-244.Elsner C.H., Sommer P., Piorkowski C. et al. A Prospective Multicenter Comparison Trial of Home Monitoring against Regular Follow-up in MADIT II Patients: Additional Visits and Cost Impact // Proceedings Computers in Cardiology, Valencia 2006; 33: 241-244.Kacet S., Guédon-Moreau L., Hermida J.S. et al. on behalf of the ECOST trial Investigators. Safety and effectiveness of implantable cardioverter defibrillator follow-up using remote monitoring: ECOST study // European Society of Cardiology, Paris, 29 August 2011. http://www.escardio.org/congresses/esc-2011/congress-reports/Pages/707-2-ECOST.aspx.Kacet S., Guédon-Moreau L., Hermida J.S. et al. on behalf of the ECOST trial Investigators. Safety and effectiveness of implantable cardioverter defibrillator follow-up using remote monitoring: ECOST study // European Society of Cardiology, Paris, 29 August 2011. http://www.escardio.org/congresses/esc-2011/congress-reports/Pages/707-2-ECOST.aspx.Hindricks G., Taborsky M., Glikson M. et al. Implant-based multiparameter telemonitoring of patients with heart failure (IN-TIME): a randomised controlled trial // Lancet 2014; 384(9943): 583-590.Hindricks G., Taborsky M., Glikson M. et al. Implant-based multiparameter telemonitoring of patients with heart failure (IN-TIME): a randomised controlled trial // Lancet 2014; 384(9943): 583-590.Sauberman R.B., Hsu W., Machado C.B. Technical Performance and Clinical Benefit of Remote Wireless Monitoring of Implantable Cardioverter Defibrillators. Abstract for HEART RHYTHM, San Francisco, USA, May 19-22, 2004 // Heart Rhythm 2004; 1(Suppl.): S215.Sauberman R.B., Hsu W., Machado C.B. Technical Performance and Clinical Benefit of Remote Wireless Monitoring of Implantable Cardioverter Defibrillators. Abstract for HEART RHYTHM, San Francisco, USA, May 19-22, 2004 // Heart Rhythm 2004; 1(Suppl.): S215.Lazarus A. Remote, wireless, ambulatory monitoring of Implantable pacemakers, cardioverter defibrillators, and cardiac resynchronization therapy systems: analysis of a worldwide database // PACE 2007; 30 (Suppl 1): S2-S12.Lazarus A. Remote, wireless, ambulatory monitoring of Implantable pacemakers, cardioverter defibrillators, and cardiac resynchronization therapy systems: analysis of a worldwide database // PACE 2007; 30 (Suppl 1): S2-S12.Ricci R.P., Morichelli L., Santini M. Remote Control of Implanted Devices through Home Monitoring Technology Improves Detection and Clinical Management of Atrial Fibrillation // Europace 2009; 11(1): 54-61.Ricci R.P., Morichelli L., Santini M. Remote Control of Implanted Devices through Home Monitoring Technology Improves Detection and Clinical Management of Atrial Fibrillation // Europace 2009; 11(1): 54-61.Kolominsky-Rabas P.L., Heuschmann P.U., Marschall D. et al. Lifetime Cost of Ischemic Stroke in Germany: Results and National Projections from a Population-Based Stroke Registry // Stroke 2006; 37: 1179-1183.Kolominsky-Rabas P.L., Heuschmann P.U., Marschall D. et al. Lifetime Cost of Ischemic Stroke in Germany: Results and National Projections from a Population-Based Stroke Registry // Stroke 2006; 37: 1179-1183.Vogtmann T., Stiller S., Marek A. et al. Workload and usefulness of daily, centralized home monitoring for patients treated with CIEDs: results of the MoniC (Model Project Monitor Centre) prospective multicentre study // Europace Advance Access published November 9, 2012; doi: 10.1093/europace/eus25.Vogtmann T., Stiller S., Marek A. et al. Workload and usefulness of daily, centralized home monitoring for patients treated with CIEDs: results of the MoniC (Model Project Monitor Centre) prospective multicentre study // Europace Advance Access published November 9, 2012; doi: 10.1093/europace/eus25.Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Heart Rate Variability: Standards of Measurement, Physiological Interpretation, and Clinical Use // Circulation 1996; 93: 1043-1065.Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Heart Rate Variability: Standards of Measurement, Physiological Interpretation, and Clinical Use // Circulation 1996; 93: 1043-1065.Баевский Р.М., Иванов Г.Г., Чирейкин Л.В. et al. Анализ вариабельности сердечного ритма при использовании различных электрокардиографических систем // Вестник аритмологии 2002; 24: 65-87.Баевский Р.М., Иванов Г.Г., Чирейкин Л.В. et al. Анализ вариабельности сердечного ритма при использовании различных электрокардиографических систем // Вестник аритмологии 2002; 24: 65-87.Nolan J., Batin P.D., Andrews R. et al. Prospective study of heart rate variability and mortality in chronic heart failure: results of the United Kingdom heart failure evaluation and assessment of risk trial (UKheart) // Circulation 1998; 98(15): 1510-1516.Nolan J., Batin P.D., Andrews R. et al. Prospective study of heart rate variability and mortality in chronic heart failure: results of the United Kingdom heart failure evaluation and assessment of risk trial (UKheart) // Circulation 1998; 98(15): 1510-1516.Andrikopoulos G., Tzeis S., Theodorakis G., Vardas P. Monitoring capabilities of cardiac rhythm management devices // Europace 2010; 12: 17-23.Andrikopoulos G., Tzeis S., Theodorakis G., Vardas P. Monitoring capabilities of cardiac rhythm management devices // Europace 2010; 12: 17-23.Perego G.B., Landolina M., VergaraG. et al. Implantable CRT device diagnostics identify patients with increased risk for heart failure hospitalization // J Interv Card Electrophysiol 2008; 23(3): 235-242.Perego G.B., Landolina M., VergaraG. et al. Implantable CRT device diagnostics identify patients with increased risk for heart failure hospitalization // J Interv Card Electrophysiol 2008; 23(3): 235-242.Sack S., Wende Ch.M., Nagele H. et al. Potential value of automated daily screening of cardiac resynchronization therapy defibrillator diagnostics for prediction of major cardiovascular events: Results from Home-CARE (Home Monitoring in Cardiac Resynchronization Therapy) study // Eur J Heart Fail 2011; 13: 1019-1027.Sack S., Wende Ch.M., Nagele H. et al. Potential value of automated daily screening of cardiac resynchronization therapy defibrillator diagnostics for prediction of major cardiovascular events: Results from Home-CARE (Home Monitoring in Cardiac Resynchronization Therapy) study // Eur J Heart Fail 2011; 13: 1019-1027.Apparatus and method for Identifying Myocardial Ischemia using Analysis of High Frequency QRS Potentials. Patent application number: 20090318820. Publication date: 24.12.2009.Apparatus and method for Identifying Myocardial Ischemia using Analysis of High Frequency QRS Potentials. Patent application number: 20090318820. Publication date: 24.12.2009.Sharir T., Merzon K., Kruchin I. et al. Incremental diagnostic value of high-frequency QRS analysis for identifying stress-induced ischemia // J Am Coll Cardiol 2006; 47: 132A.Sharir T., Merzon K., Kruchin I. et al. Incremental diagnostic value of high-frequency QRS analysis for identifying stress-induced ischemia // J Am Coll Cardiol 2006; 47: 132A.Method for Differential Diagnostics of Cardiac Arterial Disease. Patent of the Russian Federation No. 2322942. Publication date: 31.10.2006Method for Differential Diagnostics of Cardiac Arterial Disease. Patent of the Russian Federation No. 2322942. Publication date: 31.10.2006

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