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Potential role for clinical calibration to increase engagement with and application of home telemonitoring: a report from the HeartCycle programme

AIMS: There is a need for alternative strategies that might avoid recurrent admissions in patients with heart failure. home telemonitoring (HTM) to monitor patient's symptoms from a distance may be useful. This study attempts to assess changes in HTM vital signs in response to daily life activi...

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Autores principales: Gastelurrutia, Paloma, Lupón, Josep, Domingo, Mar, Stut, Wim, Dovancescu, Silviu, Cleland, John, Frankenstein, Lutz, Bayes‐Genis, Antoni
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5292630/
https://www.ncbi.nlm.nih.gov/pubmed/28217314
http://dx.doi.org/10.1002/ehf2.12104
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author Gastelurrutia, Paloma
Lupón, Josep
Domingo, Mar
Stut, Wim
Dovancescu, Silviu
Cleland, John
Frankenstein, Lutz
Bayes‐Genis, Antoni
author_facet Gastelurrutia, Paloma
Lupón, Josep
Domingo, Mar
Stut, Wim
Dovancescu, Silviu
Cleland, John
Frankenstein, Lutz
Bayes‐Genis, Antoni
author_sort Gastelurrutia, Paloma
collection PubMed
description AIMS: There is a need for alternative strategies that might avoid recurrent admissions in patients with heart failure. home telemonitoring (HTM) to monitor patient's symptoms from a distance may be useful. This study attempts to assess changes in HTM vital signs in response to daily life activities (variations in medication, salt intake, exercise, and stress) and to establish which variations affect weight, blood pressure, and heart rate. METHODS AND RESULTS: We assessed 76 patients with heart failure (mean age 76 ± 10.8 years, 75% male, mainly in NYHA class II/III and from ischaemic aetiology cause). Patients were given a calendar of interventions scheduling activities approximately twice a week before measuring their vital signs. Eating salty food or a large meal were the activities that had a significant impact on weight gain (+0.3 kg; P < 0.001 and P = 0.006, respectively). Exercise and skipping a dose of medication other than diuretics increased heart rate (+3 bpm, P = 0.001 and almost +2 bpm, P = 0.016, respectively). CONCLUSIONS: Our HTM system was able to detect small changes in vital signs related to these activities. Further studies should assess if providing such a schedule of activities might be useful for patient education and could improve long‐term adherence to recommended lifestyle changes.
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spelling pubmed-52926302017-02-17 Potential role for clinical calibration to increase engagement with and application of home telemonitoring: a report from the HeartCycle programme Gastelurrutia, Paloma Lupón, Josep Domingo, Mar Stut, Wim Dovancescu, Silviu Cleland, John Frankenstein, Lutz Bayes‐Genis, Antoni ESC Heart Fail Short Communication AIMS: There is a need for alternative strategies that might avoid recurrent admissions in patients with heart failure. home telemonitoring (HTM) to monitor patient's symptoms from a distance may be useful. This study attempts to assess changes in HTM vital signs in response to daily life activities (variations in medication, salt intake, exercise, and stress) and to establish which variations affect weight, blood pressure, and heart rate. METHODS AND RESULTS: We assessed 76 patients with heart failure (mean age 76 ± 10.8 years, 75% male, mainly in NYHA class II/III and from ischaemic aetiology cause). Patients were given a calendar of interventions scheduling activities approximately twice a week before measuring their vital signs. Eating salty food or a large meal were the activities that had a significant impact on weight gain (+0.3 kg; P < 0.001 and P = 0.006, respectively). Exercise and skipping a dose of medication other than diuretics increased heart rate (+3 bpm, P = 0.001 and almost +2 bpm, P = 0.016, respectively). CONCLUSIONS: Our HTM system was able to detect small changes in vital signs related to these activities. Further studies should assess if providing such a schedule of activities might be useful for patient education and could improve long‐term adherence to recommended lifestyle changes. John Wiley and Sons Inc. 2016-07-28 /pmc/articles/PMC5292630/ /pubmed/28217314 http://dx.doi.org/10.1002/ehf2.12104 Text en © 2016 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of the European Society of Cardiology. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs (http://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Short Communication
Gastelurrutia, Paloma
Lupón, Josep
Domingo, Mar
Stut, Wim
Dovancescu, Silviu
Cleland, John
Frankenstein, Lutz
Bayes‐Genis, Antoni
Potential role for clinical calibration to increase engagement with and application of home telemonitoring: a report from the HeartCycle programme
title Potential role for clinical calibration to increase engagement with and application of home telemonitoring: a report from the HeartCycle programme
title_full Potential role for clinical calibration to increase engagement with and application of home telemonitoring: a report from the HeartCycle programme
title_fullStr Potential role for clinical calibration to increase engagement with and application of home telemonitoring: a report from the HeartCycle programme
title_full_unstemmed Potential role for clinical calibration to increase engagement with and application of home telemonitoring: a report from the HeartCycle programme
title_short Potential role for clinical calibration to increase engagement with and application of home telemonitoring: a report from the HeartCycle programme
title_sort potential role for clinical calibration to increase engagement with and application of home telemonitoring: a report from the heartcycle programme
topic Short Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5292630/
https://www.ncbi.nlm.nih.gov/pubmed/28217314
http://dx.doi.org/10.1002/ehf2.12104
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