Telemedicine Assistance for Cardiac Patients in Egypt during COVID-19 Pandemic

Ghaleb, Alaa; Nasr, Gamela; Abokresha, Seham; Mahmoud, Sharaf E.D.

doi:10.21608/niles.2021.93546.1058

Cited by 1 publication

(1 citation statement)

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“…Moreover, in the light of the COVID-19 pandemic, and HF patients being a high-risk group, Current status of outpatient heart failure management in Egypt and recommendations for the future innovative alternatives to in-person clinic visits have to be introduced into HF management programmes. In Egypt, telemonitoring was evaluated in cardiac care and showed favourable results 66 ; however, medical personnel may face difficulty in assessing symptoms virtually. Additionally, many elderly patients may lack the technology literacy needed to communicate through virtual visits.…”

Section: Additional Means Of Care Delivery: Home Visits and Virtual V...mentioning

confidence: 99%

Current status of outpatient heart failure management in Egypt and recommendations for the future

Hassanein,

Tageldien,

Badran

et al. 2023

ESC Heart Failure

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Heart failure (HF) represents one of the greatest healthcare burdens worldwide, and Egypt is no exception. HF healthcare programmes in Egypt still require further optimization to enhance diagnosis and management of the disease. Development of specialized HF clinics (HFCs) and their incorporation in the healthcare system is expected to reduce HF hospitalization and mortality rates and improve quality of care in Egypt. We conducted a literature search on PubMed on the requirements and essential infrastructure of HFCs. Retrieved articles deemed relevant were discussed by a panel of 10 expert cardiologists from Egypt and a basic HFC model for the Egyptian settings was proposed. A multidisciplinary team managing the HFC should essentially be composed of specialized HF cardiologists and nurses, clinical pharmacists, registered nutritionists, physiotherapists, and psychologists. Other clinical specialists should be included according to patients' needs and size and structure of individual clinics. HFCs should receive patients referred from primary care settings, emergency care units, and physicians from different specialties. A basic HFC should have the following fundamental investigations available: resting electrocardiogram, basic transthoracic echocardiogram, and testing for N‐terminal pro‐B‐type natriuretic peptide. Fundamental patients' functional assessments are assessing the New York Heart Association functional classification and quality of life and conducting the 6 min walking test. guideline‐directed medical therapy should be implemented, and device therapy should be utilized when available. In the first visit, once HF is diagnosed and co‐morbidities assessed, guideline‐directed medical therapy should be started immediately. Comprehensive patient education sessions should be delivered by HF nurses or clinical pharmacists. The follow‐up visit should be scheduled during the initial visit rather than over the phone, and time from the initial visit to the first follow‐up visit should be determined based on the patient's health status and needs. Home and virtual visits are only recommended in limited and emergency situations. In this paper, we provide a practical and detailed review on the essential components of HFCs and propose a preliminary model of HFCs as part of a comprehensive HF programme model in Egypt. We believe that other low‐to‐middle income countries could also benefit from our proposed model.

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Section: Additional Means Of Care Delivery: Home Visits and Virtual V...mentioning

confidence: 99%