Cardiovascular Disease: Coronary Artery Disease

Cardiovascular Disease, Coronary Artery Disease: Introduction

Cardiovascular Disease, Coronary Artery Disease: Introduction

The purpose of home telehealth for patients with coronary artery disease is usually primary or secondary prevention of myocardial infarction.  This is accomplished through lifestyle education and/pr ongoing monitoring for detection of critical events.  Technologies used in these interventions include home electrocardiography (ECG) equipment, devices for transmitting ECG readings, and home telehealth units with touch […]

Cardiovascular Disease, Coronary Artery Disease: Key Messages

Cardiovascular Disease, Coronary Artery Disease: Key Messages

There is strong evidence that home telehealth can lead to short-term improvement in functional status.  Research into long-term outcomes is insufficient.   Several strongly designed studies have shown that home telehealth has the potential to reduce mortality significantly more than usual care.  However, many others – also strongly designed – have found that home telehealth […]

Cardiovascular Disease, Coronary Artery Disease: Scope of Literature

Cardiovascular Disease, Coronary Artery Disease: Scope of Literature

Summary This review sought to collect and interpret the evidence on home telehealth for management of patients with coronary artery disease. We looked at 3 areas: Patients: How is home telehealth used in treating people with coronary artery disease?  Do patients like it?  How clinically effective is it? Providers: What is the impact of home […]

Cardiovascular Disease, Coronary Artery Disease: Intervention Design and Implementation

Cardiovascular Disease, Coronary Artery Disease: Intervention Design and Implementation

Summary The purpose of home telehealth for patients with coronary artery disease is usually primary or secondary prevention of myocardial infarction.  This is accomplished through lifestyle education and/pr ongoing monitoring for detection of critical events.  Technologies used in these interventions include home electrocardiography (ECG) equipment, devices for transmitting ECG readings, and home telehealth units with […]

Cardiovascular Disease, Coronary Artery Disease: Patient Outcomes

Cardiovascular Disease, Coronary Artery Disease: Patient Outcomes

Summary There is moderate evidence that home telehealth can reduce cardiac-related deaths.  However, we recommend that this finding be interpreted with extreme caution; few studies have examined mortality rates and its generalizability cannot be determined. There is moderate evidence associating home telehealth with improvements in functional status that are equal or superior to those seen […]

Cardiovascular Disease, Coronary Artery Disease: Provider Outcomes

Cardiovascular Disease, Coronary Artery Disease: Provider Outcomes

Summary Detailed descriptions of the human resource requirements of home telehealth interventions for the management of coronary artery disease are difficult to obtain.  Nurses are involved in virtually all interventions, with specialists frequently acting as co-implementers or consultants.  Multi-disciplinary teams and formal care coordination appear to be a rarity, although it is possible that this […]

Cardiovascular Disease, Coronary Artery Disease: System Outcomes

Cardiovascular Disease, Coronary Artery Disease: System Outcomes

Summary The economic effects of home telehealth can be discussed using direct or indirect measures of costs and cost savings.  Direct measures include figures such as cost per patient, cost per telehealth unit, and annual costs.  Examples of indirect measures are probability of patient hospitalization, number of emergency room visits, and other types of health […]

Cardiovascular Disease, Coronary Artery Disease: Works Cited

Cardiovascular Disease, Coronary Artery Disease: Works Cited

Al-Khatib S M et al. (2010). Remote monitoring of implantable cardioverter defibrillators versus quarterly device interrogations in clinic: results from a randomized pilot clinical trial. Journal of Cardiovascular Electrophysiology. 21(5): 545-550. Barnason S, Zimmerman L, Nieveen J, Hertzog M (2006). Impact of a telehealth intervention to augment home health care on functional and recovery outcomes […]

Cardiovascular Disease, Coronary Artery Disease: Master Table

Cardiovascular Disease, Coronary Artery Disease: Master Table

Click on a column’s arrow to sort by that column.  To view a larger version of the table, click on the icon in its lower right corner. See also Coronary Artery Disease – Works Cited.