arthyperАртериальная гипертензия"Arterial’naya Gipertenziya" ("Arterial Hypertension")1607-419X2411-8524Antihypertensive League10.18705/1607-419X-2019-25-4-337-356arthyper-1827Research ArticleОбзоры и лекцииReviewТелемедицинское наблюдение и консультирование пациентов с артериальной гипертензией. Старые проблемы – новые возможностиTelemonitoring and remote counseling in hypertensive patients. Looking for new ways to do old jobshttps://orcid.org/0000-0002-3664-5383ИоновМ. В.IonovМ. V.

Ионов Михаил Васильевич — аспирант, младший научный сотрудник НИЛ патогенеза и терапии АГ НИО артериальной гипертензии ФГБУ «НМИЦ им. В. А. Алмазова» Минздрава России, младший научный сотрудник Института трансляци­онной медицины, Университет ИТМО

ул. Аккуратова, д. 2, Санкт-Петербург, 197341

Mikhail V. Ionov, MD, PhD student, Junior Researcher, Research Laboratory of Pathogenesis and Treatment of Hypertension, Department of Hypertension, Almazov National Medical Research Center; Junior Researcher, Translational Medicine Institute, ITMO University

2 Akkuratov street, St Petersburg,  197341

ionov_mv@almazovcentre.ruhttps://orcid.org/0000-0001-6533-5950ЗвартауН. Э.ZvartauN. Е.

Звартау Надежда Эдвиновна — кандидат медицинских наук, начальник организационно-методического управления по кардиологии и ангиологии, старший научный сотрудник НИО артериальной гипертензии ФГБУ «НМИЦ им. В. А. Алма-зова» Минздрава России; старший научный сотрудник Инсти­тута трансляционной медицины, Университет ИТМО

Санкт-Петербург

Nadezda E. Zvartau, MD, PhD, Head, Organizational-methodological Department on Cardiology and Angiology; Senior Researcher, Department of Hypertension, Almazov National Medical Research Center; Senior Researcher, Translational Medicine Institute, ITMO University

St Petersburg

n.e.zvartau@gmail.comhttps://orcid.org/0000-0002-3176-0606ЕмельяновИ. В.EmelyanovI. V.

Емельянов Игорь Витальевич — кандидат медицинских наук, старший научный сотрудник НИЛ патогенеза и те­рапии АГ НИО артериальной гипертензии

Санкт-Петербург

Igor V. Emelyanov, MD, PhD, Senior Researcher, Research Laboratory of Pathogenesis and Treatment of Hypertension, Department of Hypertension, Almazov National Medical Research Center

St Petersburg

iemelyanov@inbox.ruhttps://orcid.org/0000-0001-8169-7812КонрадиА. О.KonradiA. О.

Конради Александра Олеговна — доктор медицинских наук,член-корреспондент Российской академии наук, заместитель генерального директора по научной работе ФГБУ «НМИЦ им. В. А. Алмазова» Минздрава России; директор Института трансляционной медицины, Университет ИТМОСанкт-Петербург

Aleksandra O. Konradi, MD, PhD, DSc, Professor, Corres-ponding Member of the Russian Academy of Sciences; Deputy Director General of Science, Almazov National Medical Research Center; Head, Translational Medicine Institute, ITMO UniversitySt Petersburg

ahleague@mail.ruФедеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени В. А. Алмазова» Министерства здравоохранения Российской Федерации; Федеральное государственное автономное образовательное учреждение высшего образования «Санкт-Петербургский национальный исследовательский университет информационных технологий, механики и оптики» (Университет ИТМО)РоссияAlmazov National Medical Research Centre; ITMO UniversityRussian FederationФедеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени В. А. Алмазова» Министерства здравоохранения Российской ФедерацииРоссияAlmazov National Medical Research CentreRussian Federation201915082019254337356Copyright © Ионов М.В., Звартау Н.Э., Емельянов И.В., Конради А.О., 20192019Ионов М.В., Звартау Н.Э., Емельянов И.В., Конради А.О.Ionov М.V., Zvartau N.Е., Emelyanov I.V., Konradi A.О.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://htn.almazovcentre.ru/jour/article/view/1827

В XXI веке человечество вступило в цифровую эру после свершившихся третьей и четвертой промышленных революций, которые теперь диктуют новые особенности социальных взаимоотношений. Ожидается, что информационно-коммуникационные технологии, интегрированные в ценностно-ориентированную медицину положительно повлияют на оказание помощи колоссальному числу пациентов с социально значимыми неинфекционными заболеваниями. В современном здравоохранении основную часть этих заболеваний составляют болезни системы кровообращения. Артериальная гипертензия, являясь самой распространенной из таких патологий является главным модифицируемым фактором сердечно-сосудистого риска и, соответственно, привлекательной мишенью для отработки ряда телемедицинских технологий и подходов, концепции ценностно-ориентированной медицины. В этом обзоре рассмотрены исследования с применением различных телемедицинских решений, использующиеся для мониторинга и консультирования пациентов с артериальной гипертензией. Обозначены известные препятствия в лечении пациентов и пути их преодоления с помощью телемедицинских программ. Описаны ограничения широкого внедрения телемедицины, варианты их форсирования.

XXI century emphasized humanity to embrace the digital era after a reality of Third and Fourth Industrial Revolutions, nowadays dictating new terms of social networking. It is expected that information and communication technologies integrated with value-based medicine will significantly impact healthcare delivery to tremendous number of patients with socially important noncommunicable diseases. Cardiovascular illnesses comprise the greatest part of such pathologies. Hypertension (HTN) being the most prevalent cardiovascular disease is also the key modifiable cardiovascular risk factor yet seems to be an attractive target for both value-based concept and telehealth interventions. Present review addresses up-to-date science on telehealth, sets out the main well-known, but yet unsolved challenges in management of HTN along with the new approaches involving telemedicine programs, digital health outlooks. The main barriers of telehealth implementation are also considered along with the possible solutions.

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The authors declare that there are no conflicts of interest present.