On-demand mobile health infrastructures to allow comprehensive remote atrial fibrillation and risk factor management through teleconsultation

被引：40

作者：

Hermans, Astrid N. L.

van der Velden, Rachel M. J.

Gawalko, Monika ^{[1
,2
]}

Verhaert, Dominique V. M. ^{[1
,2
,3
]}

Desteghe, Lien ^{[4
,5
,8
,9
]}

Duncker, David ^{[6
]}

Manninger, Martin ^{[7
]}

Heidbuchel, Hein ^{[8
,9
]}

Pisters, Ron ^{[10
]}

Hemels, Martin ^{[3
,10
]}

Pison, Laurent ^{[11
]}

Sohaib, Afzal ^{[12
,13
]}

Sultan, Arian ^{[14
]}

Steven, Daniel ^{[14
]}

Wijtvliet, Petra ^{[15
]}

Tieleman, Robert ^{[15
]}

Gupta, Dhiraj ^{[16
]}

Dobrev, Dobromir ^{[17
]}

Svennberg, Emma ^{[18
,19
]}

Crijns, Harry J. G. M. ^{[1
,2
]}

Pluymaekers, Nikki A. H. A. ^{[1
,2
]}

Hendriks, Jeroen M. ^{[20
,21
,22
]}

Linz, Dominik ^{[1
,2
,3
,20
,21
,23
]}

机构：

[1] Maastricht Univ, Med Ctr, Dept Cardiol, Maastricht, Netherlands

[2] Cardiovasc Res Inst Maastricht, Maastricht, Netherlands

[3] Radboud Univ Nijmegen, Med Ctr, Dept Cardiol, Nijmegen, Netherlands

[4] Hasselt Univ, Fac Med & Life Sci, Hasselt, Belgium

[5] Jessa Hosp, Heart Ctr Hasselt, Hasselt, Belgium

[6] Hannover Med Sch, Hannover Heart Rhythm Ctr, Dept Cardiol & Angiol, Hannover, Germany

[7] Med Univ Graz, Dept Cardiol, Graz, Austria

[8] Antwerp Univ Hosp, Dept Cardiol, Antwerp, Belgium

[9] Antwerp Univ, Antwerp, Belgium

[10] Rijnstate Hosp, Dept Cardiol, Arnhem, Netherlands

[11] Hosp East Limburg, Dept Cardiol, Genk, Belgium

[12] Barts Hlth NHS Trust, St Bartholomews Hosp, Dept Cardiol, London, England

[13] King George Hosp, Dept Cardiol, London, England

[14] Univ Hosp Cologne, Heart Ctr, Dept Electrophysiol, Cologne, Germany

[15] Martini Hosp, Dept Cardiol, Groningen, Netherlands

[16] Liverpool Heart & Chest Hosp, Dept Cardiol, Liverpool, Merseyside, England

[17] Univ Duisburg Essen, West German Heart & Vasc Ctr, Inst Pharmacol, Essen, Germany

[18] Karolinska Inst, Dept Clin Sci, Div Cardiovasc Med, Stockholm, Sweden

[19] Karolinska Univ Hosp, Stockholm, Sweden

[20] Univ Adelaide, Ctr Heart Rhythm Disorders, Adelaide, SA, Australia

[21] Royal Adelaide Hosp, Adelaide, SA, Australia

[22] Flinders Univ S Australia, Coll Nursing & Hlth Sci, Adelaide, SA, Australia

[23] Univ Copenhagen, Fac Hlth & Med Sci, Dept Biomed Sci, Copenhagen, Denmark

来源：

CLINICAL CARDIOLOGY | 2020年 / 43卷 / 11期

关键词：

AUSTRALIAN CLINICAL GUIDELINES; NATIONAL HEART FOUNDATION; SLEEP-APNEA SEVERITY; CARDIAC SOCIETY; VARIABILITY; TECHNOLOGY; DIAGNOSIS; CARE;

D O I：

10.1002/clc.23469

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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. Mobile health (mHealth) solutions can support remote AF management. 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 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 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.

引用

页码：1232 / 1239

页数：8

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