The COVID-19 pandemic has accelerated how healthcare providers are working to deliver healthcare at distance. Many cardiac patients are now relying on phone and videoconference to receive medical care from home. The situation is pushing healthcare towards the future, leading to a leap forward for cardiac telemedicine. In this HeartBeat we highlight initiatives to deliver care at distance. The first program is the TeleCheck-AF (an initiative from Maastricht University Medical Centreþ, The Netherlands), an on-demand and on-prescription mHealth program that includes a smartphone app (FibriCheck) for patients with atrial fibrillation (AF) (see Figure 1). Using the index finger and the phone’s camera, this app can detect the pulse, then use an algorithm to identify if the patient has AF and whether the heart rate is fast or slow. These vital data can be used by the physician to guide the teleconsultation and to monitor treatment at distance. Professor Jeroen M Hendriks (Flinders University and Royal Adelaide Hospital, Australia) points out that the TeleCheck-AF is a user friendly and short intervention that puts the patient ‘in charge’ of their care by delivering vital data which may also result in better adherence to the treatment regime. Also, the data provided by the patient are stored in a cloud, are easily accessible and provides the healthcare professional with an overview of heart rhythm and rate as well as whether the patient has experienced AF-related symptoms. Patient perspective: ‘I am 78 years of age and much enjoyed to be part of this project. I strictly measured three times a day and had the feeling I was on top of my own care coordination.’ Poppy Brooks (Team leader Cardiac Support Services, North Devon Healthcare Trust, UK) responded to a call on our Twitter account (@EditorEJCN) in which we asked our followers to share how they give care to your patients at distance. Her team uses an offer from ‘Activate Your Heart’, an online cardiac rehabilitation program,

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在 COVID-19 大流行期间为心脏病患者提供远程医疗保健：来自临床实践的经验

COVID-19 大流行加速了医疗保健提供者远程提供医疗保健的工作方式。许多心脏病患者现在依靠电话和视频会议在家中接受医疗护理。这种情况正在推动医疗保健走向未来，导致心脏远程医疗的飞跃。在这个 HeartBeat 中，我们强调了远距离提供护理的举措。第一个程序是 TeleCheck-AF（荷兰马斯特里赫特大学医学中心的一项计划），这是一个按需和处方的 mHealth 程序，其中包括一个智能手机应用程序 (FibriCheck)，适用于心房颤动 (AF) 患者（见图1）。使用食指和手机的摄像头，这个应用程序可以检测脉搏，然后使用算法来识别患者是否有房颤以及心率是快还是慢。医生可以使用这些重要数据来指导远程会诊和远程监控治疗。Jeroen M Hendriks 教授（澳大利亚弗林德斯大学和皇家阿德莱德医院）指出，TeleCheck-AF 是一种用户友好且短暂的干预措施，通过提供重要数据让患者“负责”他们的护理，这也可能导致更好的依从性到治疗方案。此外，患者提供的数据存储在云中，易于访问，并为医疗保健专业人员提供心律和心率概览，以及患者是否经历过 AF 相关症状。患者观点：“我今年 78 岁，很高兴参与这个项目。我每天严格测量 3 次，感觉自己处于最佳护理协调状态。' Poppy Brooks（英国北德文医疗信托基金会心脏支持服务团队负责人）在我们的 Twitter 帐户 (@EditorEJCN) 上回应了一个电话，我们要求我们的粉丝分享他们如何远程照顾您的患者。她的团队使用了在线心脏康复计划“Activate Your Heart”的报价，