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Telehealth for the Assessment and Follow-up of Patients Requiring Cardiac Care: A Review of the Clinical Effectiveness, Cost-Effectiveness, and Guidelines

Last updated: June 29, 2015
Project Number: RC0674-000
Product Line: Rapid Response
Research Type: Devices and Systems
Report Type: Summary with Critical Appraisal
Result type: Report

Question

  1. What is the clinical effectiveness of telehealth for the assessment and follow-up of patients requiring cardiac care?
  2. What is the cost-effectiveness of telehealth for the assessment and follow-up of patients requiring cardiac care?
  3. What are the evidence-based guidelines regarding the use of telecardiology for the assessment and follow-up of patients requiring cardiac care?

Key Message

One HTA and one open label RCT with an endpoint of time to diagnosis in patients with heart failure were included. There is no information on the effect of teleconsultation on clinical outcomes or harms arising for any of the four indications. There are no cost-effectiveness studies for angina, hypertension and stroke, and no studies based on clinical data for heart failure. No evidence-based guidelines were identified.