Remote Monitoring: Advancing the Science of Health Care Delivery - Mayo Clinic CV Grand Rounds
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24 ساعت پیش
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Mayo Clinic cardiologists and engineers
Mayo Clinic cardiologists and engineers are developing technology to remotely monitor patients. This technology has the ability to impact the science of healthcare delivery world-wide. To learn more about remote monitoring at Mayo Clinic, visit www.mayoclinic.org/departments-centers/cardiovascu….
Video Content Outline:
• Introduction
• History of remote monitoring (1:23)
• Remote patient monitoring (5:21)
• Heart failure (6:21)
o Heart failure costs (7:19)
o U.S. Government response (9:28)
o Home monitoring on HF outcomes (9:46)
o Implantable technology for heart failure (10:24)
o 5 steps for success of home heart failure management (10:52)
• Patient monitoring after hospital dismissal (11:48)
• RALES study (12:11)
• Bloodless blood test (13:22)
• Detecting MicroVolt changes (14:42)
• Screening for sleep apnea (17:04)
• Link between sleep and heart failure (17:26)
• Sleep apnea remote monitoring (19:37)
• Recording sounds of sleep (20:18)
• Conclusion (22:09)
The goal of remote monitoring at Mayo Clinic is to not only monitor patients who already have active diseases, but have an impact early on to prevent the disease from starting in the first place. Long-term monitoring systems are being developed to promote the mobility and independence of patients with atrial fibrillation, congestive heart failure, and obstructive sleep apnea.
It is estimated that by the year 2030, heart failure will affect approximately 9.5 million people in the United States. It is estimated that more Medicare dollars are spent on heart failure than any other single diagnosis, and a substantial amount of that is related to heart failure re-hospitalization. Remote monitoring can reduce this by allowing patients to be monitored from home where appropriate and timely care can be given.
When patients are dismissed from the hospital, there is a significant decrease in the amount of monitoring they receive. Remote monitoring would permit early detection of symptoms allowing for appropriate care to be given in a timely manner, and also record clinically significant, but much smaller changes, that may not show on ECG. One way of doing this is through the use of a bloodless blood test. This looks at the physiologic effects of the content in the blood to determine the value of that specific analyte that gave rise to the change. Once a baseline is determined, this would not only allow patients to be monitored remotely, but would reduce the number of blood draws required.
The classic symptoms of heart failure including orthopnea (discomfort when breathing while lying down), paroxysmal nocturnal dyspnea, and fatigue, are linked to sleep. Approximately 8 out of 10 people have some type of sleep apnea. Remote monitoring for sleep apnea can greatly reduce the cost of expensive hospital admissions for sleep studies. Remote monitoring can provide similar information to a sleep study and can be done on multiple occasions without increased expense.
24 ساعت پیش
در تاریخ 1403/07/08 منتشر شده
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