On-demand mobile health infrastructures to allow comprehensive remote atrial fibrillation and risk factor management through teleconsultation.
Journal
Clinical cardiology
ISSN: 1932-8737
Titre abrégé: Clin Cardiol
Pays: United States
ID NLM: 7903272
Informations de publication
Date de publication:
Nov 2020
Nov 2020
Historique:
received:
23
08
2020
revised:
15
09
2020
accepted:
17
09
2020
pubmed:
9
10
2020
medline:
20
11
2020
entrez:
8
10
2020
Statut:
ppublish
Résumé
Although novel teleconsultation solutions can deliver remote situations that are relatively similar to face-to-face interaction, remote assessment of heart rate and rhythm as well as risk factors remains challenging in patients with atrial fibrillation (AF). Mobile health (mHealth) solutions can support remote AF management. Herein, we discuss available mHealth tools and strategies on how to incorporate the remote assessment of heart rate, rhythm and risk factors to allow comprehensive AF management through teleconsultation. Particularly, in the light of the coronavirus disease 2019 (COVID-19) pandemic, there is decreased capacity to see patients in the outpatient clinic and mHealth has become an important component of many AF outpatient clinics. Several validated mHealth solutions are available for remote heart rate and rhythm monitoring as well as for risk factor assessment. mHealth technologies can be used for (semi-)continuous longitudinal monitoring or for short-term on-demand monitoring, dependent on the respective requirements and clinical scenarios. As a possible solution to improve remote AF care through teleconsultation, we introduce the on-demand TeleCheck-AF mHealth approach that allows remote app-based assessment of heart rate and rhythm around teleconsultations, which has been developed and implemented during the COVID-19 pandemic in Europe. Large scale international mHealth projects, such as TeleCheck-AF, will provide insight into the additional value and potential limitations of mHealth strategies to remotely manage AF patients. Such mHealth infrastructures may be well suited within an integrated AF-clinic, which may require redesign of practice and reform of health care systems.
Sections du résumé
BACKGROUND
BACKGROUND
Although novel teleconsultation solutions can deliver remote situations that are relatively similar to face-to-face interaction, remote assessment of heart rate and rhythm as well as risk factors remains challenging in patients with atrial fibrillation (AF).
HYPOTHESIS
OBJECTIVE
Mobile health (mHealth) solutions can support remote AF management.
METHODS
METHODS
Herein, we discuss available mHealth tools and strategies on how to incorporate the remote assessment of heart rate, rhythm and risk factors to allow comprehensive AF management through teleconsultation.
RESULTS
RESULTS
Particularly, in the light of the coronavirus disease 2019 (COVID-19) pandemic, there is decreased capacity to see patients in the outpatient clinic and mHealth has become an important component of many AF outpatient clinics. Several validated mHealth solutions are available for remote heart rate and rhythm monitoring as well as for risk factor assessment. mHealth technologies can be used for (semi-)continuous longitudinal monitoring or for short-term on-demand monitoring, dependent on the respective requirements and clinical scenarios. As a possible solution to improve remote AF care through teleconsultation, we introduce the on-demand TeleCheck-AF mHealth approach that allows remote app-based assessment of heart rate and rhythm around teleconsultations, which has been developed and implemented during the COVID-19 pandemic in Europe.
CONCLUSION
CONCLUSIONS
Large scale international mHealth projects, such as TeleCheck-AF, will provide insight into the additional value and potential limitations of mHealth strategies to remotely manage AF patients. Such mHealth infrastructures may be well suited within an integrated AF-clinic, which may require redesign of practice and reform of health care systems.
Identifiants
pubmed: 33030259
doi: 10.1002/clc.23469
pmc: PMC7661648
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1232-1239Informations de copyright
© 2020 The Authors. Clinical Cardiology published by Wiley Periodicals LLC.
Références
Hypertension. 2020 Feb;75(2):309-315
pubmed: 31838903
JMIR Mhealth Uhealth. 2017 Jul 19;5(7):e98
pubmed: 28724512
ERJ Open Res. 2020 Feb 10;6(1):
pubmed: 32055630
Eur Heart J. 2020 Aug 29;:
pubmed: 32860505
NPJ Digit Med. 2020 Jan 10;3:3
pubmed: 31934647
Europace. 2020 Sep 04;:
pubmed: 32887994
Int J Cardiol Heart Vasc. 2020 Apr 01;27:100506
pubmed: 32310240
Eur Heart J. 2018 Apr 21;39(16):1394-1403
pubmed: 29300888
Clin Cardiol. 2020 Sep;43(9):1032-1039
pubmed: 32700414
Heart Rhythm. 2020 Jan;17(1):12-19
pubmed: 31299298
J Am Med Inform Assoc. 2020 Jun 1;27(6):939-945
pubmed: 32357368
Int J Nurs Stud. 2010 Oct;47(10):1310-6
pubmed: 20089253
Int J Cardiol. 2018 Dec 1;272:155-161
pubmed: 30057161
J Cardiovasc Nurs. 2020 Jul/Aug;35(4):324-326
pubmed: 32541607
Eur Heart J. 2020 Mar 7;41(10):1075-1085
pubmed: 31811716
BMJ Open Diabetes Res Care. 2020 Sep;8(1):
pubmed: 32988849
JMIR Cardio. 2017 Jul-Dec;1(2):e7
pubmed: 29473644
Europace. 2018 Dec 1;20(12):1929-1935
pubmed: 29912366
Int J Cardiol Heart Vasc. 2018 Feb 18;18:25-29
pubmed: 29556526
Heart Lung Circ. 2018 Oct;27(10):1209-1266
pubmed: 30077228
JAMA Cardiol. 2018 Jun 1;3(6):532-540
pubmed: 29541763
Neth Heart J. 2010 Oct;18(10):471-7
pubmed: 20978591
JAMA Netw Open. 2020 Apr 1;3(4):e202064
pubmed: 32242908
Europace. 2016 Nov;18(11):1609-1678
pubmed: 27567465
Clin Res Cardiol. 2018 Aug;107(8):617-631
pubmed: 29651786
Physiol Meas. 2018 Aug 08;39(8):084001
pubmed: 29995641
Med J Aust. 2018 Oct 15;209(8):356-362
pubmed: 30067936
Heart Rhythm. 2020 Sep;17(9):e255-e268
pubmed: 32535140
J Am Coll Cardiol. 2020 Apr 14;75(14):1689-1713
pubmed: 32273035
World J Otorhinolaryngol Head Neck Surg. 2016 Mar 05;2(1):45-49
pubmed: 29204548
Int J Cardiol Heart Vasc. 2020 May 08;28:100533
pubmed: 32391412
Int J Cardiol. 2019 Oct 15;293:288-293
pubmed: 31327518
J Am Heart Assoc. 2016 Jul 21;5(7):
pubmed: 27444506
J Am Coll Cardiol. 2018 Nov 6;72(19):2406-2407
pubmed: 30384896
Clin Cardiol. 2020 Nov;43(11):1232-1239
pubmed: 33030259
Cardiovasc Diabetol. 2020 Jun 13;19(1):78
pubmed: 32534567
J Am Coll Cardiol. 2020 Apr 7;75(13):1523-1534
pubmed: 32241367
Int J Cardiol Heart Vasc. 2019 Oct 18;24:100424
pubmed: 31763438
Eur Heart J. 2020 Jan 21;41(4):533-541
pubmed: 30590586
JACC Clin Electrophysiol. 2019 Jun;5(6):692-701
pubmed: 31221356
Eur Heart J. 2020 Jun 1;41(21):1954-1955
pubmed: 32379309
Int J Cardiol Heart Vasc. 2019 Nov 19;25:100442
pubmed: 31890862
Am J Med. 2017 Dec;130(12):1388-1396.e6
pubmed: 28847546
Int J Cardiol Heart Vasc. 2018 Aug 31;20:56-62
pubmed: 30186937
Arrhythm Electrophysiol Rev. 2018 Jun;7(2):118-127
pubmed: 29967684