Russian Open Medical Journal · Published 2025-09-30 · DOI 10.15275/rusomj.2025.0316
Relevance: Remote cardiac monitoring is currently increasingly important, which is due to the development of technology, the growing interest on the part of patients and the healthcare system as a whole, and the creation of a functioning remote cardiac monitoring system integrated into the public healthcare system. With regard to Russia, it is crucial to investigate the features of the development of cardiac monitoring devices and the current state of the latter. At the same time, it is worth noting the lack of studies that examine the availability of mobile devices and their integration into the healthcare system in the early 2020s. Objective: To investigate the development of remote cardiac monitoring devices in Russia in the context of socially important problems of providing medical care and preventing diseases, and the possibility of their use in the public healthcare system, taking into account the current state of technology, the characteristics of the market for wearable cardiac monitoring devices and their availability to patients in Russia. Material and methods: The main method employed by us was a comprehensive analysis of the technical characteristics, availability for purchase, and reliability of the measurements performed by mobile remote cardiac monitoring devices available on the Russian market at the beginning of 2022. In addition, the article presents a comparison of the prevalence of remote cardiac monitoring devices in Russia, the Asia-Pacific region, the USA and Europe. Results: In the second half of the 20th century, remote medical monitoring was used mainly in extreme circumstances when the direct participation of doctors was impossible or very problematic. However, at the turn of the 21st century, the development of technology and healthcare system, as well as the attitude of the population to their health, triggered a change in the approach to remote monitoring and diagnosing diseases, thereby putting the task of increasing the effectiveness of prevention, diagnosis and treatment of various ailments, including cardiovascular diseases, in the foreground of routine clinical practice. New generations of remote monitoring devices are becoming more effective, and their measurements are as accurate as possible. However, a study of the devices presented on the Russian market shows that each developer creates an individual closed ‘ecosystem’ that is not connected to the healthcare system. In this regard, the task of contemporary healthcare is the full integration of existing ‘ecosystems’ with available electronic medical records, along with spreading this practice to all regions of Russia. The solution to this problem is largely determined by the involvement of the state; it should be part of social policy in the healthcare sector. Conclusion: The development of remote cardiac monitoring in Russia corresponds to the general global trends in the growth of the prevalence of wearable devices among patients with cardiovascular diseases. At the same time, one of the pressing issues remains the technical and legal feasibility of integrating the services of different manufacturers of cardiac monitoring devices into the state healthcare system.
Abstract from DOAJ. Public domain (CC0 1.0).
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