Telemedicine in Elderly Patients with Chronic Heart Failure: Narrative Review of the Literature with a Focus on Telemedicine 2.0 Projects

Abstract

Background: This is a narrative short review of the literature pertaining to telemedicine projects developed in the field of heart failure, with special attention to the remote monitoring project called E-care, a French telemedicine of new generation program to support patients returning home after hospital. This project has been specifically designed to automatically detect situations at risk for heart failure. Prospects for the development of the E-care system in the field of Geriatrics will likewise be discussed. Results: Numerous telemedicine projects, based on connected objects or information and communication technology (ICT), have emerged over the last five years or are under development in the field of computer science heart failure. This is the case of the E-care telemonitoring project, which fits perfectly within the framework of telemedicine 2.0 projects, including for the first time artificial intelligence (AI). Their potential contribution in terms of mortality or morbidity, in addition to number of hospitalizations avoided, is currently under study or documentation. Their impact in terms of health economics is also being validated, taken into account that the oldest telemedicine projects had already validated the economic and social benefits brought up by telemedicine solutions.