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Vol. 74. Issue 6.
Pages 563-564 (June 2021)
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Vol. 74. Issue 6.
Pages 563-564 (June 2021)
Letter to the Editor
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Soft skills in cardiology telemedicine consultations. Response
Las habilidades blandas en consultas telemáticas de cardiología. Respuesta
Vivencio Barriosa,
Corresponding author

Corresponding author:
, Carlos Escobarb, Juan Cosín-Salesc, José M. Gámezd
a Servicio de Cardiología, Hospital Universitario Ramón y Cajal, Universidad de Alcalá, Madrid, Spain
b Servicio de Cardiología, Hospital Universitario La Paz, Madrid, Spain
c Servicio de Cardiología, Hospital Arnau de Vilanova, Valencia, Spain
d Servicio de Cardiología, Hospital Universitario Son Llàtzer, Palma de Mallorca, Islas Baleares, Spain
Related content
Rev Esp Cardiol. 2021;74:562-310.1016/j.rec.2021.01.019
Emilio Augusto Rosario Pacahuala, Janett Isabel Sanchez Pimentel, Aldo Rafael Medina Gamero
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To the Editor,

We appreciate the letter by Rosario Pacahuala et al. regarding our consensus document of the Spanish Society of Cardiology on telemedicine consultations.1

By enabling adaptation to the new situations associated with medical modernization, telemedicine has become established as a form of care of both the here and now and the future. Telemedicine consultations permit a different form of health care that can be a source of stress for both medical staff and patients. Thus, satisfactory telemedicine consultations must be rewarding and reassuring, produce a positive feeling for both physicians and patients, and avoid generating stress, anxiety, and discomfort.2

Accordingly, the telemedicine consultation must be optimized to maximize performance. Efficient consultations rely on soft skills focused on empathy, warmth, and trust. These skills underlie and enrich hard skills centered on abilities and scientific knowledge. Indeed, the combination of both skill sets is key to high-quality telemedicine. Such consultations must guarantee confidentiality, stressing privacy and data protection, and be efficacious and safe.

As highlighted by the authors, the role of nursing staff is crucial in this context, as well as probably that of pharmacists and other individuals involved in health care, such as caregivers. A consensus document on the telemedicine consultation for nursing staff would be highly valuable, with a special focus on the management and monitoring of lifestyle habits and control of risk factors. As one would expect, all components should be coordinated with primary care. The involvement of other professionals would facilitate the optimization of resources in telemedicine3 to offer health care that is at least as rewarding as face-to-face consultations. This coordination work regarding continuity of care could be organized, at least partly, by the Working Group on the Integration of Cardiology and Primary Care of the Clinical Cardiology Association.


The original article prompting this letter was performed thanks to an unconditional grant from Laboratorios Menarini, Pfizer, and Novartis Farmaceutica, who did not participate in any way and at any time in its development.


All authors have contributed to the drafting and revision of this response letter.



V. Barrios, J. Cosín-Sales, M. Bravo, et al.
La consulta telemática para el cardiólogo clínico en tiempos de la COVID-19: presente y futuro. Documento de consenso de la SEC.
Rev Esp Cardiol., 73 (2020), pp. 910-918
I. Frederix, E.G. Caiani, P. Dendale, et al.
ESC e-Cardiology WG Position Paper: Overcoming challenges in digital health implementation in cardiovascular medicine.
Eur J Prev Cardiol., 26 (2019), pp. 1166-1177
C.F.Q. Souza, D.G. Oliveira, A.D.D.S. Santana, et al.
Evaluation of nurse's performance in telemedicine.
Rev Bras Enferm., 72 (2019), pp. 933-939
Copyright © 2021. Sociedad Española de Cardiología
Revista Española de Cardiología (English Edition)

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