Cardiovascular care

  • 文章类型: Journal Article
    心力衰竭(HF)仍然是全球医疗保健系统的重大负担。需要创新的管理方法。该手稿严格评估了远程监控和远程医疗在彻底改变HF护理交付中的作用。根据当前文献和临床实践的综合,它描绘了关键的好处,挑战,以及与这些技术相关的个性化策略。分析强调了远程监测和远程医疗在促进及时干预方面的潜力,增强患者参与度,优化治疗依从性,从而改善临床结果。然而,复杂的技术,监管框架,和社会经济因素构成了广泛采用的巨大障碍。手稿强调了量身定制的干预措施的必要性,利用人工智能和机器学习的进步,有效地满足患者的个人需求。展望未来,持续创新,跨学科合作,并提倡战略投资,以实现HF管理中远程监控和远程医疗的变革潜力,从而推进以患者为中心的护理模式,优化医疗资源配置。
    Heart failure (HF) remains a significant burden on global healthcare systems, necessitating innovative approaches for its management. This manuscript critically evaluates the role of remote monitoring and telemedicine in revolutionizing HF care delivery. Drawing upon a synthesis of current literature and clinical practices, it delineates the pivotal benefits, challenges, and personalized strategies associated with these technologies in HF management. The analysis highlights the potential of remote monitoring and telemedicine in facilitating timely interventions, enhancing patient engagement, and optimizing treatment adherence, thereby ameliorating clinical outcomes. However, technical intricacies, regulatory frameworks, and socioeconomic factors pose formidable hurdles to widespread adoption. The manuscript emphasizes the imperative of tailored interventions, leveraging advancements in artificial intelligence and machine learning, to address individual patient needs effectively. Looking forward, sustained innovation, interdisciplinary collaboration, and strategic investment are advocated to realize the transformative potential of remote monitoring and telemedicine in HF management, thereby advancing patient-centric care paradigms and optimizing healthcare resource allocation.
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  • 文章类型: Journal Article
    心电图(ECG)解释是心血管医学中必不可少的技能。这项研究评估了新发布的ChatGPT-4V的功能,具有视觉识别能力的大型语言模型,解释ECG波形和回答相关的多项选择题。从信誉良好的医学检查中收集了总共62个与ECG相关的多项选择题。通过分析伴随的ECG图像,提示ChatGPT回答问题。要求3个回答中至少有1个是正确的,ChatGPT在所有问题类型中的总体准确率为83.87%。与诊断和治疗建议问题相比,ChatGPT在基于计数的问题(例如计算QT间期)上的表现明显较低。研究结果表明,虽然ChatGPT在心电图解释和决策方面显示出有希望的潜力,其诊断可靠性和定量分析能力在真正临床使用之前需要提高。随着模型通过持续的培训积累更多的医学知识,需要进一步的大规模研究来全面评估ChatGPT的能力并跟踪其进展。随着技术的进步,像ChatGPT这样的多模态AI有一天可能在协助临床医生进行ECG解释和心血管护理方面发挥重要作用.
    This study evaluated the capabilities of the newly released ChatGPT-4V, a large language model with visual recognition abilities, in interpreting electrocardiogram waveforms and answering related multiple-choice questions for assisting with cardiovascular care.
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  • 文章类型: Journal Article
    Across the globe, the implementation of quality improvement science and collaborative learning has positively affected the care and outcomes for children born with CHD. These efforts have advanced the collective expertise and performance of inter-professional healthcare teams. In this review, we highlight selected quality improvement initiatives and strategies impacting the field of cardiovascular care and describe implications for future practice and research. The continued leveraging of technology, commitment to data transparency, focus on team-based practice, and recognition of cultural norms and preferences ensure the success of sustainable models of global collaboration.
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