# Key Factors for a Successful Telemedicine Solution for Cardiovascular Diseases: A Systematic Review  
[PERSON]  
11 Institute for High Performance Computing and Networking, National Research Council of Italy (ICAR-CNR), Via Pietro Castellino 111, 80131 Naples, Italy; [EMAIL_ADDRESS] (I.B.); [EMAIL_ADDRESS] (M.C.)  
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[PERSON]  
11 Institute for High Performance Computing and Networking, National Research Council of Italy (ICAR-CNR), Via Pietro Castellino 111, 80131 Naples, Italy; [EMAIL_ADDRESS] (I.B.); [EMAIL_ADDRESS] (M.C.)  
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[PERSON]  
11 Institute for High Performance Computing and Networking, National Research Council of Italy (ICAR-CNR), Via Pietro Castellino 111, 80131 Naples, Italy; [EMAIL_ADDRESS] (I.B.); [EMAIL_ADDRESS] (M.C.)  
1  
[PERSON]  
11 Institute for High Performance Computing and Networking, National Research Council of Italy (ICAR-CNR), Via Pietro Castellino 111, 80131 Naples, Italy; [EMAIL_ADDRESS] (I.B.); [EMAIL_ADDRESS] (M.C.)  
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Footnote 1: email: {S.S.  
defined as a systolic blood pressure of at least 140 mmHg and/or a diastolic pressure of at least 90 mmHg [5]. Heart failure is characterized by the heart's inability to pump sufficient blood to meet the body's needs [6; 7], while atrial fibrillation is a cardiac arrhythmia that results in an irregular and often rapid heartbeat [8].  
The rapid development of telemedicine has been further accelerated by the COVID-19 pandemic, highlighting the need for innovative and remote healthcare solutions [9]. During this period, a significant increase in telemedicine services was observed, making it essential to evaluate the effectiveness and efficiency of these interventions in emergency health contexts. Telemedicine facilitated the continuity of care during the pandemic and opened new perspectives for managing chronic diseases, reducing the need for in-person visits, and improving accessibility to healthcare services [10].  
The primary objective of this systematic review is to assess whether the use of telemonitoring systems for patients with chronic cardiovascular diseases can improve their quality of life, including psychological and physical health, and increase their awareness of the disease and management methods. Specifically, the focus is on the effectiveness of these systems in improving disease-specific parameters, quality of life, and patients' ability to self-manage their condition.  
In this context, telemonitoring presents a promising solution to address the challenges posed by cardiovascular diseases. Several studies [11; 12; 13; 14; 15; 16] have demonstrated that using remote monitoring devices and mobile applications can lead to better blood pressure control, reduced heart failure symptoms, and improved patients' quality of life. Moreover, the real-time monitoring of vital parameters allows physicians to intervene promptly in case of a deterioration in the patient's condition, thereby enhancing the effectiveness of prescribed therapies.  
Despite the numerous advantages, there are still some barriers to the widespread adoption of telemedicine, including the need for adequate technological and secure infrastructure, training of medical personnel, and resistance to change from older patients [17; 18; 19]. However, with continuous technological advancement and the increasing integration of these solutions into healthcare systems, telemonitoring will likely become an integral part of cardiovascular disease management in the near future.  
This systematic review aims to provide a comprehensive overview of the current state of telemonitoring for cardiovascular diseases. It analyzes the results of recent studies and identifies best practices and areas needing further research. The ultimate goal is to provide evidence-based recommendations for effectively implementing these technologies to improve clinical outcomes and the quality of life for patients with chronic cardiovascular diseases.