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首页> 外文期刊>Telemedicine journal and e-health: the official journal of the American Telemedicine Association >A point-to-point simple telehealth application for cardiovascular prevention: the ESINO LARIO experience. Cardiovascular prevention at point of care.
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A point-to-point simple telehealth application for cardiovascular prevention: the ESINO LARIO experience. Cardiovascular prevention at point of care.

机译：点对点的简单远程医疗应用程序可预防心血管疾病：ESINO LARIO体验。护理时的心血管预防。

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Recent epidemiological evidence indicates that chronic degenerative diseases, notably cardiovascular, represent the major toll in terms of death and of impaired quality of life. Recent estimates indicate that a small increase in financial resources in a number of clinical cases may be sufficient to minimize the consequences of elevated cardiovascular risk per individual. The observation that lifestyle choices, and in particular increased physical exercise, might strongly impact cardiovascular risk, suggests a redesign of preventive strategies, based on the combination of pharmacological and behavioral interventions. Following our recent experience with the INteractive teleConsultation network for worldwide healthcAre Services (INCAS) system, we designed a simpler point-to-point telehealth infrastructure, to be employed in cardiovascular risk reduction programs, predicting a high level of acceptance from the population, at the cost of very limited investment. This model was tested on 181 subjects (ages 18-80 years) in the Italian mountain village of Esino Lario. These subjects underwent a screening test to evaluate arrhythmia and cardiometabolic risks (arrhythmias were found in 14% of subjects, systolic arterial pressure was observed in 43% of subjects above 140 mm Hg, diastolic arterial pressure in 31% above 90 mm Hg). This study demonstrates the feasibility of a scaled-down telehealth application particularly suited to cardiovascular prevention in remote areas, such as in mountain villages.
机译：最近的流行病学证据表明，慢性退行性疾病，尤其是心血管疾病，是造成死亡和生活质量受损的主要因素。最近的估计表明，在许多临床病例中财政资源的少量增加可能足以使每个人的心血管风险升高的后果最小化。关于生活方式的选择，尤其是增加体育锻炼，可能会严重影响心血管疾病的观察结果，建议根据药理和行为干预措施的结合，对预防策略进行重新设计。根据我们最近在全球医疗服务（INCAS）系统中使用交互式远程咨询网络的经验，我们设计了一种更简单的点对点远程医疗基础设施，用于降低心血管疾病的风险计划，从而预测了人群的高度认可。投资成本非常有限。该模型在意大利山区村庄Esino Lario的181位受试者（年龄18-80岁）上进行了测试。这些受试者接受了筛查测试，以评估心律不齐和心脏代谢风险（在14％的受试者中发现心律不齐，在140 mm Hg以上的受试者中有43％观察到收缩压，在90 mm Hg以上的受试者中有31％观察到舒张压）。这项研究证明了缩小规模的远程医疗应用的可行性，该应用特别适用于偏远地区（如山区村庄）的心血管疾病预防。

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