Gerotechnology for Older Adults With Cardiovascular Diseases: JACC State-of-the-Art Review

• Type of Material: Article
• Authors: Ashok Krishnaswami, Kaiser Permanente Medical Center; Craig Beavers, University of Kentucky; Michael P. Dorsch, University of Michigan; John A. Dodson, New York University; Ruth Masterson Creber, Weill Cornell Medicine; Spyros Kitsiou, University of Illinois; Parag Goyal, Weill Cornell Medicine; Mathew S. Maurer, Columbia University; Nanette Wenger, Emory University; Deborah S. Croy, Bland County Medical Clinic; Karen P. Alexander, Duke University; John A. Batsis, Dartmouth College; Mintu P. Turakhia, Stanford University; Daniel E. Forman, University of Pittsburgh; Gwen M. Bernacki, University of Washington; James N. Kirkpatrick, University of Washington; Nicole M. Orr, Post-Acute Cardiology Care, LCC; Eric D. Peterson, Duke University; Michael W. Rich, Washington University in St. Louis; Andrew M. Freeman, National Jewish Health; Sanjeev P. Bhavnani, Scripps Clinic & Research Foundation
• Language: English
• Date: 2020-12-01
• Publisher: ELSEVIER SCIENCE INC
• Publication Version: Author Accepted Manuscript (After Peer Review)
• Copyright Statement: © 2020 by the American College of Cardiology Foundation. Published by Elsevier.
• License: Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1016/j.jacc.2020.09.606
• Title of Journal or Parent Work: JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
• Volume: 76
• Issue: 22
• Start Page: 2650
• End Page: 2670
• Keywords: cardiac rehabilitation; diabetes mellitus; CARE; hypertension; Science & Technology; IMPACT; TELEMEDICINE; Life Sciences & Biomedicine; MANAGEMENT; barriers; OBESITY; RISK-FACTOR; obesity; dyslipidemia; CARDIAC REHABILITATION; gerotechnology; clinical trials; digital health; heart failure; MOBILE HEALTH; Cardiovascular System & Cardiology; CHRONIC HEART-FAILURE; arrhythmia; telehealth; Cardiac & Cardiovascular Systems; palliative care; MEDICATION ADHERENCE; older adults
• Research Categories: Health Sciences, Medicine and Surgery; Gerontology

Abstract

The growing population of older adults (age ≥65 years) is expected to lead to higher rates of cardiovascular disease. The expansion of digital health (encompassing telehealth, telemedicine, mobile health, and remote patient monitoring), Internet access, and cellular technologies provides an opportunity to enhance patient care and improve health outcomes—opportunities that are particularly relevant during the current coronavirus disease-2019 pandemic. Insufficient dexterity, visual impairment, and cognitive dysfunction, found commonly in older adults should be taken into consideration in the development and utilization of existing technologies. If not implemented strategically and appropriately, these can lead to inequities propagating digital divides among older adults, across disease severities and socioeconomic distributions. A systematic approach, therefore, is needed to study and implement digital health strategies in older adults. This review will focus on current knowledge of the benefits, barriers, and use of digital health in older adults for cardiovascular disease management.