Gerotechnology for Older Adults With Cardiovascular Diseases JACC State-of-the-Art Review

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY

卷:76

Review

Krishnaswami, Ashok¹  Beavers, Craig²  Dorsch, Michael P.³  Dodson, John A.⁴  Creber, Ruth Masterson⁵  Kitsiou, Spyros⁶  Goyal, Parag⁷  Maurer, Mathew S.⁸  Wenger, Nanette K.⁹  Croy, Deborah S.¹⁰  Alexander, Karen P.¹¹  Batsis, John A.^12,13,14,15  Turakhia, Mintu P.^16,17  Forman, Daniel E.^18,19  Bernacki, Gwen M.²⁰  Kirkpatrick, James N.²¹  Orr, Nicole M.^22,23  Peterson, Eric D.¹¹  Rich, Michael W.²⁴  Freeman, Andrew M.²⁵  Bhavnani, Sanjeev P.²⁶ 

[1] Kaiser Permanente Med Ctr, Div Cardiol, San Jose, CA USA

[2] Univ Kentucky, Div Pharm, Lexington, KY USA

[3] Univ Michigan, Coll Pharm, 428 Church St, Ann Arbor, MI 48109 USA

[4] NYU Grossman Sch Med, NYU Langone Hlth, New York, NY USA

[5] Weill Cornell Med, Dept Populat Hlth Sci, Div Hlth Informat, New York, NY USA

[6] Univ Illinois, Dept Biomed & Hlth Informat Sci, Coll Appl Hlth Sci, Chicago, IL USA

[7] Weill Cornell Med, Dept Med, New York, NY USA

[8] Columbia Univ, Med Ctr, Div Cardiol, New York, NY USA

[9] Emory Univ, Sch Med, Div Cardiol, Dept Med, Atlanta, GA 30322 USA

[10] Bland Cty Med Clin, Bastian, VA USA

[11] Duke Univ, Med Ctr, Div Cardiol, Duke Clin Res Inst, Durham, NC 27710 USA

[12] Dartmouth Coll, Dept Med, Geisel Sch Med, 1 Med Ctr Dr, Lebanon, NH 03756 USA

[13] Dartmouth Coll, Dartmouth Inst Hlth Policy & Clin Practice, 1 Med Ctr Dr, Lebanon, NH 03756 USA

[14] Dartmouth Hitchcock, Lebanon, NH USA

[15] Univ N Carolina, Div Geriatr Med, Sch Med, Dept Nutr,Gillings Sch Global Publ Hlth, Chapel Hill, NC 27515 USA

[16] Stanford Univ, Ctr Digital Hlth, Stanford, CA 94305 USA

[17] Palo Alto Vet Adm Hlth Care Syst, Palo Alto, CA USA

[18] Univ Pittsburgh, Div Geriatr Cardiol, Geriatr Res Educ & Clin Ctr, Pittsburgh, PA USA

[19] VA Pittsburgh Healthcare Syst, Pittsburgh, PA USA

[20] Univ Washington, Dept Med, Div Cardiovasc, Cambia Palliat Care Ctr Excellence, Seattle, WA USA

[21] Univ Washington, Dept Med, Div Cardiovasc, Dept Bioeth & Humanities, Seattle, WA USA

[22] Postacute Cardiol Care LCC, Darien, CT USA

[23] Tufts Med Ctr, Div Cardiol, Boston, MA 02111 USA

[24] Washington Univ, Div Cardiovasc, St Louis, MO 63110 USA

[25] Natl Jewish Hlth, Div Cardiol, Dept Med, Denver, CO USA

[26] Scripps Res Inst, Prebys Cardiovasc Inst, San Diego, CA USA

关键词: arrhythmia;    barriers;    cardiac rehabilitation;    clinical trials;    diabetes mellitus;    digital health;    dyslipidemia;    gerotechnology;    heart failure;    hypertension;    obesity;    older adults;    palliative care;    telehealth;   

DOI  :  10.1016/j.jacc.2020.09.606

来源: Elsevier

【 摘 要 】

The growing population of older adults (age >= 65 years) is expected to lead to higher rates of cardiovascular disease. The expansion of digital health (encompassing telehealth, telemedicine, mobile health, and remote patient monitoring), Internet access, and cellular technologies provides an opportunity to enhance patient care and improve health outcomes-opportunities that are particularly relevant during the current coronavirus disease-2019 pandemic. Insufficient dexterity, visual impairment, and cognitive dysfunction, found commonly in older adults should be taken into consideration in the development and utilization of existing technologies. If not implemented strategically and appropriately, these can lead to inequities propagating digital divides among older adults, across disease severities and socioeconomic distributions. A systematic approach, therefore, is needed to study and implement digital health strategies in older adults. This review will focus on current knowledge of the benefits, barriers, and use of digital health in older adults for cardiovascular disease management. (C) 2020 by the American College of Cardiology Foundation.

【 授权许可】

Free