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Evidence and Recommendations on the Use of Telemedicine for the Management of Arterial Hypertension
Hypertension ( IF 6.9 ) Pub Date : 2020-11-01 , DOI: 10.1161/hypertensionaha.120.15873
Stefano Omboni 1, 2 , Richard J McManus 3 , Hayden B Bosworth 4, 5, 6, 7 , Lucy C Chappell 8 , Beverly B Green 9 , Kazuomi Kario 10 , Alexander G Logan 11 , David J Magid 12 , Brian Mckinstry 13 , Karen L Margolis 14 , Gianfranco Parati 15, 16 , Bonnie J Wakefield 17
Affiliation  

Telemedicine allows the remote exchange of medical data between patients and healthcare professionals. It is used to increase patients' access to care and provide effective healthcare services at a distance. During the recent coronavirus disease 2019 (COVID-19) pandemic, telemedicine has thrived and emerged worldwide as an indispensable resource to improve the management of isolated patients due to lockdown or shielding, including those with hypertension. The best proposed healthcare model for telemedicine in hypertension management should include remote monitoring and transmission of vital signs (notably blood pressure) and medication adherence plus education on lifestyle and risk factors, with video consultation as an option. The use of mixed automated feedback services with supervision of a multidisciplinary clinical team (physician, nurse, or pharmacist) is the ideal approach. The indications include screening for suspected hypertension, management of older adults, medically underserved people, high-risk hypertensive patients, patients with multiple diseases, and those isolated due to pandemics or national emergencies.

中文翻译:

使用远程医疗管理动脉高血压的证据和建议

远程医疗允许患者和医疗保健专业人员之间远程交换医疗数据。它用于增加患者获得护理的机会并提供有效的远程医疗保健服务。在最近的 2019 年冠状病毒病 (COVID-19) 大流行期间,远程医疗蓬勃发展并在全球范围内成为一种不可或缺的资源,可改善因封锁或屏蔽而被隔离的患者(包括高血压患者)的管理。高血压管理远程医疗的最佳建议医疗模式应包括远程监测和传输生命体征(特别是血压)和药物依从性以及生活方式和风险因素的教育,视频咨询是一种选择。在多学科临床团队(医生、护士、或药剂师)是理想的方法。适应症包括筛查疑似高血压、管理老年人、医疗服务不足的人群、高危高血压患者、患有多种疾病的患者以及因大流行或国家紧急情况而被隔离的患者。
更新日期:2020-11-01
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