Frederix, I.; Department of Cardiology, Jessa Hospital, Belgium, Antwerp University Hospital (UZA), Belgium, Faculty of Medicine and Life Sciences, Hasselt University, Belgium, Faculty of Medicine and Health Sciences, Antwerp University, Belgium
Caiani, E. G.; Department of Electronics, Information, and Bioengineering, Politecnico di Milano, Italy, Institute of Electronics and Information and Telecommunication Engineering, Consiglio Nazionale delle Ricerche, Italy
Dendale, P.; Department of Cardiology, Jessa Hospital, Belgium, Faculty of Medicine and Life Sciences, Hasselt University, Belgium
Anker, S.; Division of Cardiology and Metabolism, Berlin–Brandenburg Center for Regenerative Therapies (BCRT), partner site Berlin, Charité Universitätsmedizin Berlin, Germany
Bax, J.; Department of Cardiology, Leiden University Medical Centre (LUMC), Netherlands
Böhm, A.; Department of Acute Cardiology, The National Institute of Cardiovascular Diseases, Slovakia, Faculty of Medicine, Slovak Medical University, Slovakia
Cowie, M.; National Heart and Lung Institute, Imperial College London, United Kingdom
Crawford, J.; International Advisory Group, Healthcare Information and Management Systems Society (HIMSS), United Kingdom
de Groot, N.; Department of Cardiology, Erasmus Medical Center, Netherlands
Dilaveris, P.; Department of Cardiology, Hippokration Hospital, Greece
Hansen, T.; Department of Cardiology, Zealand University Hospital, Denmark
Koehler, F.; Centre for Cardiovascular Telemedicine, Charité – Universitätsmedizin, Germany
Krstačić, G.; Faculty of Medicine, University of Osijek, Croatia
Lambrinou, E.; Department of Nursing, Cyprus University of Technology, Cyprus
Lancellotti, Patrizio ; Université de Liège - ULiège > Département des sciences cliniques > Cardiologie - Pathologie spéciale et réhabilitation
Meier, P.; Department of Cardiology, University Hospital Geneva HUG, Switzerland
Neubeck, L.; School of Health and Social Care, Edinburgh Napier University, United Kingdom
Parati, G.; IRCCS Istituto Auxologico Italiano, University of Milano-Bicocca, Italy
Piotrowicz, E.; Telecardiology Center, Institute of Cardiology, Poland
Tubaro, M.; ICCU – Cardiology Division, San Filippo Neri Hospital, Italy
van der Velde, E.; Department of Cardiology, Leiden University Medical Centre (LUMC), Netherlands
Timmis A, Townsend N, Gale C, the Atlas Writing Group. European Society of Cardiology: Cardiovascular Disease Statistics 2017. Eur Heart J 2018; 39: 508–579.
Chestnov O. World Health Organization. Noncommunicable diseases and mental health. www.who.int/nmh/events/ncd_action_plan/en/ (accessed 19 November 2016)
Kotseva K, Wood D, De Bacquer D, EUROASPIRE Investigators. EUROASPIRE IV: A European Society of Cardiology survey on the lifestyle, risk factor and therapeutic management of coronary patients from 24 European countries. Eur J Prev Cardiol 2016; 23: 636–648.
Gandapur Y, Kianoush S, Kelli HM, The role of mHealth for improving medication adherence in patients with cardiovascular disease: a systematic review. Eur Heart J Qual Care Clin Outcomes 2016; 2: 237–244.
Ibanez B, James S, Agewall S, ESC Scientific Document Group. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: the Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J 2018; 39: 119–177.
Roffi M, Patrono C, Collet JP, 2015 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: Task Force for the Management of Acute Coronary Syndromes in Patients Presenting without Persistent ST-Segment Elevation of the European Society of Cardiology (ESC). Eur Heart J 2016; 37: 267–315.
Montalescot G, Sechtem U, Achenbach S, ESC Committee for Practice Guidelines. 2013 ESC Guidelines on the management of stable coronary artery disease: the Task Force on the management of stable coronary artery disease of the European Society of Cardiology. Eur Heart J 2013; 34: 2949–3003.
Ruano-Ravina A, Pena-Gil C, Abu-Assi E, Participation and adherence to cardiac rehabilitation programs. A systematic review. Int J Cardiol 2016; 223: 436–443.
Clark A, King-Shier K, Duncan A, Factors influencing referral to cardiac rehabilitation and secondary prevention programs: a systematic review. Eur J Prev Cardiol 2012; 20: 692–700.
Frederix I, Vanhees L, Dendale P, A review of telerehabilitation for cardiac patients. J Telemed Telecare 2015; 21: 45–53.
Piepoli MF, Corrà U, Dendale P, Challenges in secondary prevention after acute myocardial infarction: a call for action. Eur J Prev Cardiol 2016; 23: 1994–2006.
Pagoto S, Bennett GG. How behavioral science can advance digital health. Transl Behav Med 2013; 3: 271–276.
Cowie MR, Bax J, Bruining N, e-Health: a position statement of the European Society of Cardiology. Eur Heart J 2016; 37: 63–66.
European Society of Cardiology. Digital Health Committee composition. www.escardio.org/The-ESC/Governance/ESC-Committees/esc-digital-health-committee (accessed 8 August 2018).
Pagliari C, Sloan D, Gregor P, What is eHealth: a scoping exercise to map the field. J Med Internet Res 2005; 7: e9.
Frederix I, Vandenberk T, Janssen L, eEduHeart I: A multicenter, randomized, controlled trial investigating the effectiveness of a cardiac web-based eLearning platform – rationale and study design. Cardiology 2017; 136: 157–163.
Inglis SC, Clark RA, McAlister FA, Which components of heart failure programmes are effective? A systematic review and meta-analysis of the outcomes of structured telephone support or telemonitoring as the primary component of chronic heart failure management in 8323 patients: Abridged Cochrane Review. Eur J Heart Fail 2011; 13: 1028–1040.
Neubeck L, Cartledge S, Dawkes S, Is there an app for that? Mobile phones and secondary prevention of cardiovascular disease. Curr Opin Cardiol 2017; 32: 567–571.
Parati G, Stergiou GS, Asmar R, ESH Working Group on Blood Pressure Monitoring. European Society of Hypertension guidelines for home blood pressure monitoring. J Hum Hypertens 2010; 24: 779–785.
Parati G, Stergiou GS, Asmar R, ESH Working Group on Blood Pressure Monitoring. European Society of Hypertension guidelines for blood pressure monitoring at home: a summary report of the Second International Consensus Conference on Home Blood Pressure Monitoring. J Hypertens 2008; 26: 1505–1530.
Parati G, Omboni S, Albini F, TeleBPCare Study Group. Home blood pressure telemonitoring improves hypertension control in general practice. The TeleBPCare study. J Hypertens 2009; 27: 198–203.
Omboni S, Gazzola T, Carabelli G, Clinical usefulness and cost effectiveness of home blood pressure telemonitoring: metaanalysis of randomized controlled studies. J Hypertens 2013; 31: 455–467.
Milani RV, Lavie CJ, Bober RM, Improving hypertension control and patient engagement using digital tools. Am J Med 2017; 130: 14–20.
Parati G, Torlasco C, Omboni S, Smartphone applications for hypertension management: a potential game-changer that needs more control. Curr Hypertens Rep 2017; 19: 48.
Wolf A, Fors A, Ulin K, An e-Health diary and symptom-tracking tool combined with person-centered care for improving self-efficacy after a diagnosis of acute coronary syndrome: a substudy of a randomized controlled trial. J Med Internet Res 2016; 18: e40.
Saner H, Van der Velde E. e-Health in cardiovascular medicine: a clinical update. Eur J Prev Cardiol 2016; 23: 5–12.
Frederix I, Hansen D, Coninx K, Medium-term effectiveness of a comprehensive internet-based and patient-specific telerehabilitation program with text messaging support for cardiac patients: randomized controlled trial. J Med Internet Res 2015; 17: e185.
Frederix I, Solmi F, Piepoli MF, Cardiac telerehabilitation: a novel cost-efficient care delivery strategy that can induce long-term health benefits. Eur J Prev Cardiol 2017; 24: 1708–1717.
Kraal JJ, Van den Akker-Van Marle ME, Abu-Hanna A, Clinical and cost-effectiveness of home-based cardiac rehabilitation compared to conventional, centre-based cardiac rehabilitation: results of the FIT@Home study. Eur J Prev Cardiol 2017; 24: 1260–1273.
Inglis SC, Clark RA, Dierckx R, Structured telephone support or non-invasive telemonitoring for patients with heart failure. Cochrane Database Syst Rev 2015; 10: CD007228.
Landolina M, Perego GB, Lunati M, Remote monitoring reduces healthcare use and improves quality of care in heart failure patients with implantable defibrillators: the evolution of management strategies of heart failure patients with implantable defibrillators (EVOLVO) study. Circulation 2012; 125: 2985–2992.
Böhm M, Drexler H, Oswald H, Fluid status telemedicine alerts for heart failure: a randomized controlled trial. Eur Heart J 2016; 37: 3154–3163.
Hindricks G, Taborsky M, Glikson M, Implant-based multiparameter telemonitoring of patients with heart failure (IN-TIME): a randomised controlled trial. Lancet 2014; 384: 583–590.
Morgan JM, Dimitrov BD, Gill J, Rationale and study design of the REM-HF study: remote management of heart failure using implanted devices and formalized follow-up procedures. Eur J Heart Fail 2014; 16: 1039–1045.
ESC. Education. www.escardio.org/Education (accessed 17 March 2018).
Educator for Heart.org. https://www.heart.org/en/professional/educator (accessed 17 March 2018).
Piotrowicz E, Zieliński T, Bodalski R, Home-based telemonitored Nordic walking training is well accepted, safe, effective and has high adherence among heart failure patients, including those with cardiovascular implantable electronic devices – a randomized controlled study. Eur J Prev Cardiol 2015; 22: 1368–1377.
Halcox JPJ, Wareham K, Cardew A, Assessment of remote heart rhythm sampling using the AliveCor heart monitor to screen for atrial fibrillation: the REHEARSE-AF Study. Circulation 2017; 136: 1784–1794.
Kotecha D, Chua WWL, Fabritz L, European Society of Cardiology (ESC) Atrial Fibrillation Guidelines Taskforce, the CATCH ME consortium and the European Heart Rhythm Association (EHRA). European Society of Cardiology smartphone and tablet applications for patients with atrial fibrillation and their health care providers. Europace 2018; 20: 225–233.
Ware P, Bartlett SJ, Paré G, Using e-Health technologies: interests, preferences, and concerns of older adults. Interact J Med Res 2017; 6: e3.
Torrent-Sellens J, Díaz-Chao A, Soler-Ramos I, Modelling and predicting e-Health usage in Europe: a multidimensional approach from an online survey of 13,000 European Union internet users. J Med Internet Res 2016; 18: e188.
Watkins I, Xie B. e-Health literacy interventions for older adults: a systematic review of the literature. J Med Internet Res 2014; 16: e225.
Xesfingi S, Vozikis A. e-Health literacy: in the quest of the contributing factors. Interact J Med Res 2016; 5: e16.
The European Commision. e-Health Action Plan 2012–2020 – Innovative healthcare for the 21st century. 2012. http://ec.europa.eu/health//sites/health/files/e-Health/docs/com_2012_736_en.pdf (accessed 17 March 2018).
Rai A, Chen L, Pye J, Understanding determinants of consumer mobile health usage intentions, assimilation, and channel preferences. J Med Internet Res 2013; 15: e149.
Richtering SS, Hyun K, Neubeck L, e-Health literacy: predictors in a population with moderate-to-high cardiovascular risk. JMIR Hum Factors 2017; 4: e4.
Burke LE, Ma J, Azar KM, American Heart Association Publications Committee of the Council on Epidemiology and Prevention, Behavior Change Committee of the Council on Cardiometabolic Health, Council on Cardiovascular and Stroke Nursing, Council on Functional Genomics and Translational Biology, Council on Quality of Care and Outcomes Research, and Stroke Council. Current science on consumer use of mobile health for cardiovascular disease prevention. A scientific statement from the American Heart Association. Circulation 2017; 136: 1.
Kontos E, Blake KD, Chou W-YS, Predictors of eHealth usage: insights on the digital divide from the Health Information National Trends Survey 2012. J Med Internet Res 2014; 16: e172.
Schaeffer D, Berens EM, Vogt D. Health literacy in the German population. Dtsch Arztebl Int 2017; 114: 53–60.
Sørensen K, Pelikan JM, Rothlin F, Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). Eur J Public Health 2015; 25: 1053–1058.
Melchiorre MG, Lamura G, Barbabella F. ICARE4EU Consortium. eHealth for people with multimorbidity: results from the ICARE4EU project and insights from the “10 e's” by Gunther Eysenbach. PLoS One 2018; 13: e0207292.
Weiss D, Rydland HT, Øversveen E, Innovative technologies and social inequalities in health: a scoping review of the literature. PLoS One 2018; 13: e0195447.
Villalba-Mora E, Casas I, Lupianez-Villaneuva F, Adoption of health information technologies by physicians for clinical practice: the Andalusian case. Int J Med Informat 2015; 84: 477–485.
Yang YT, Silverman RD. Mobile health applications: the patchwork of legal and liability issues suggests strategies to improve oversight. Health Aff (Millwood) 2014; 33: 222–227.
Chan M, Esteve D, Fourniols JY, Smart wearable systems: current status and future challenges. Artif Intell Med 2012; 56: 137–156.
Bruining N, Caiani E, Chronaki C, Acquisition and analysis of cardiovascular signals on smartphones: potential, pitfalls and perspectives. By the Task Force on the e-Cardiology Working Group of European Society of Cardiology. Eur J Prev Cardiol 2014; 21: 4–13.
Bruining N, Barendse R, Cummins P. The future of computers in cardiology: ‘the connected patient’?. Eur Heart J 2017; 38: 1781–1794.
Schweier R, Romppel M, Richter C, Dissemination strategies and adherence predictors for web-based interventions-how efficient are patient education sessions and email reminders?. Health Educ Res 2016; 31: 384–394.
Roesler V, Binotto AP, Iochpe C, Improving preventive healthcare with a user-centric mobile tele-monitoring model. Stud Health Technol Inform 2015; 216: 648–652.
Steinhubl SR, Topol EJ. Moving from digitalization to digitization in cardiovascular care: why is it important and what can it mean for patients and providers?. J Am Coll Cardiol 2015; 66: 1489–1496.
McLean S, Protti D, Sheikh A. Tele-Healthcare for long term conditions. BMJ 2011; 342: d120.
Frederix I, Dendale P, Sheikh A. FIT@Home editorial: Supporting a new era of cardiac rehabilitation at home?. Eur J Prev Cardiol 2017; 24: 1485–1487.
European Commission. mHealth in Europe: Preparing the ground – consultation results published. https://ec.europa.eu/digital-single-market/en/news/mhealth-europe-preparing-ground-consultation-results-published-today (accessed 17 March 2018).
Official Journal of the European Union. Directive 2007/47/EC of the European Parliament and of the council. http://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=OJ:L:2007:247:0021:0055:en:PDF (accessed 17 March 2018).
Official Journal of the European Union. Regulation (EU) 2016/679 of the European parliament and of the council. http://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:32016R0679&from=EN (accessed 17 March 2018).
EUR-Lex. Directive 2002/58/EC of the European Parliament and of the Council of 12 July 2002 concerning the processing of personal data and the protection of privacy in the electronic communications sector. http://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX%3A32004L0052 (accessed 20 March 2018).
Moreno-Conde A, Moner D, Dimas da Cruz W, Clinical information modeling processes for semantic interoperability of electronic health records: systematic review and inductive analysis. J Am Med Inform Assoc 2015; 22: 925–934.
Flynn MR, Barrett C, Cosío FG, The Cardiology Audit and Registration Data Standards (CARDS), European data standards for clinical cardiology practice. Eur Heart J 2005; 26: 308–313.
Fraser AG, Butchart EG, Szymański P, et al. The need for transparency of clinical evidence for medical devices in Europe. Lancet 2018; 392: 521–530.
Bergmo TS. How to measure costs and benefits of e-health interventions: an overview of methods and frameworks. J Med Internet Res 2015; 17: e254.
British Cardiac Patients Association. Cardiovascular Patients' Bill of Rights Spring 2009. http://bcpa.uk/pdf/BillOfRights.pdf (accessed 2 December 2017)
Barello S, Triberti S, Graffigna G, eHealth for patient engagement: a systematic review. Front Psychol 2016; 6: 2013.
Gillebert TC, Brooks N, Fontes-Carvalho R, ESC core curriculum for the general cardiologist (2013). Eur Heart J 2013; 34: 2381–2411.
European Commission. New Members eHealth Stakeholder Group. https://ec.europa.eu/digital-single-market/en/news/new-members-ehealth-stakeholder-group-have-been-selected (8 August 2018)
United4Health. Telehealth in practice. Care delivery models from 14 regions in Europe. http://united4health.eu/wp-content/uploads/2016/01/U4H-Brochurev1.0.pdf (10 August 2018)
Momentum. European Momentum for Mainstreaming Telemedicine Deployment in Daily Practice. http://www.telemedicine-momentum.eu/ (10 August 2018)
