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Survey of current perspectives on consumer-available digital health devices for detecting atrial fibrillation

BACKGROUND: Many digital health technologies capable of atrial fibrillation (AF) detection are directly available to patients. However, adaptation into clinical practice by heart rhythm healthcare practitioners (HCPs) is unclear. OBJECTIVE: To examine HCP perspectives on use of commercial technologi...

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Autores principales: Ding, Eric Y., Svennberg, Emma, Wurster, Christina, Duncker, David, Manninger, Martin, Lubitz, Steven A., Dickson, Emily, Fitzgibbons, Timothy P., Akoum, Nazem, Al-Khatib, Sana M., Attia, Zachi I., Ghanbari, Hamid, Marrouche, Nassir F., Mendenhall, G. Stuart, Peters, Nicholas S., Tarakji, Khaldoun G., Turakhia, Mintu, Wan, Elaine Y., McManus, David D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7452829/
https://www.ncbi.nlm.nih.gov/pubmed/32924024
http://dx.doi.org/10.1016/j.cvdhj.2020.06.002
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author Ding, Eric Y.
Svennberg, Emma
Wurster, Christina
Duncker, David
Manninger, Martin
Lubitz, Steven A.
Dickson, Emily
Fitzgibbons, Timothy P.
Akoum, Nazem
Al-Khatib, Sana M.
Attia, Zachi I.
Ghanbari, Hamid
Marrouche, Nassir F.
Mendenhall, G. Stuart
Peters, Nicholas S.
Tarakji, Khaldoun G.
Turakhia, Mintu
Wan, Elaine Y.
McManus, David D.
author_facet Ding, Eric Y.
Svennberg, Emma
Wurster, Christina
Duncker, David
Manninger, Martin
Lubitz, Steven A.
Dickson, Emily
Fitzgibbons, Timothy P.
Akoum, Nazem
Al-Khatib, Sana M.
Attia, Zachi I.
Ghanbari, Hamid
Marrouche, Nassir F.
Mendenhall, G. Stuart
Peters, Nicholas S.
Tarakji, Khaldoun G.
Turakhia, Mintu
Wan, Elaine Y.
McManus, David D.
author_sort Ding, Eric Y.
collection PubMed
description BACKGROUND: Many digital health technologies capable of atrial fibrillation (AF) detection are directly available to patients. However, adaptation into clinical practice by heart rhythm healthcare practitioners (HCPs) is unclear. OBJECTIVE: To examine HCP perspectives on use of commercial technologies for AF detection and management. METHODS: We created an electronic survey for HCPs assessing practice demographics and perspectives on digital devices for AF detection and management. The survey was distributed electronically to all members of 3 heart rhythm professional societies. RESULTS: We received 1601 responses out of 73,563 e-mails sent, with 43.6% from cardiac electrophysiologists, 12.8% from fellows, and 11.6% from advanced practice practitioners. Most respondents (62.3%) reported having recommended patient use of a digital device for AF detection. Those who did not had concerns about their accuracy (29.6%), clinical utility of results (22.8%), and integration into electronic health records (19.8%). Results from a 30-second single-lead electrocardiogram were sufficient for 42.7% of HCPs to recommend oral anticoagulation for patients at high risk for stroke. Respondents wanted more data comparing the accuracy of digital devices to conventional devices for AF monitoring (64.9%). A quarter (27.3%) of HCPs had no reservations recommending digital devices for AF detection, and most (53.4%) wanted guidelines from their professional societies providing guidance on their optimal use. CONCLUSION: Many HCPs have already integrated digital devices into their clinical practice. However, HCPs reported facing challenges when using digital technologies for AF detection, and professional society recommendations on their use are needed.
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spelling pubmed-74528292020-08-28 Survey of current perspectives on consumer-available digital health devices for detecting atrial fibrillation Ding, Eric Y. Svennberg, Emma Wurster, Christina Duncker, David Manninger, Martin Lubitz, Steven A. Dickson, Emily Fitzgibbons, Timothy P. Akoum, Nazem Al-Khatib, Sana M. Attia, Zachi I. Ghanbari, Hamid Marrouche, Nassir F. Mendenhall, G. Stuart Peters, Nicholas S. Tarakji, Khaldoun G. Turakhia, Mintu Wan, Elaine Y. McManus, David D. Cardiovasc Digit Health J Full Length Article BACKGROUND: Many digital health technologies capable of atrial fibrillation (AF) detection are directly available to patients. However, adaptation into clinical practice by heart rhythm healthcare practitioners (HCPs) is unclear. OBJECTIVE: To examine HCP perspectives on use of commercial technologies for AF detection and management. METHODS: We created an electronic survey for HCPs assessing practice demographics and perspectives on digital devices for AF detection and management. The survey was distributed electronically to all members of 3 heart rhythm professional societies. RESULTS: We received 1601 responses out of 73,563 e-mails sent, with 43.6% from cardiac electrophysiologists, 12.8% from fellows, and 11.6% from advanced practice practitioners. Most respondents (62.3%) reported having recommended patient use of a digital device for AF detection. Those who did not had concerns about their accuracy (29.6%), clinical utility of results (22.8%), and integration into electronic health records (19.8%). Results from a 30-second single-lead electrocardiogram were sufficient for 42.7% of HCPs to recommend oral anticoagulation for patients at high risk for stroke. Respondents wanted more data comparing the accuracy of digital devices to conventional devices for AF monitoring (64.9%). A quarter (27.3%) of HCPs had no reservations recommending digital devices for AF detection, and most (53.4%) wanted guidelines from their professional societies providing guidance on their optimal use. CONCLUSION: Many HCPs have already integrated digital devices into their clinical practice. However, HCPs reported facing challenges when using digital technologies for AF detection, and professional society recommendations on their use are needed. Elsevier 2020-08-26 /pmc/articles/PMC7452829/ /pubmed/32924024 http://dx.doi.org/10.1016/j.cvdhj.2020.06.002 Text en © 2020 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Full Length Article
Ding, Eric Y.
Svennberg, Emma
Wurster, Christina
Duncker, David
Manninger, Martin
Lubitz, Steven A.
Dickson, Emily
Fitzgibbons, Timothy P.
Akoum, Nazem
Al-Khatib, Sana M.
Attia, Zachi I.
Ghanbari, Hamid
Marrouche, Nassir F.
Mendenhall, G. Stuart
Peters, Nicholas S.
Tarakji, Khaldoun G.
Turakhia, Mintu
Wan, Elaine Y.
McManus, David D.
Survey of current perspectives on consumer-available digital health devices for detecting atrial fibrillation
title Survey of current perspectives on consumer-available digital health devices for detecting atrial fibrillation
title_full Survey of current perspectives on consumer-available digital health devices for detecting atrial fibrillation
title_fullStr Survey of current perspectives on consumer-available digital health devices for detecting atrial fibrillation
title_full_unstemmed Survey of current perspectives on consumer-available digital health devices for detecting atrial fibrillation
title_short Survey of current perspectives on consumer-available digital health devices for detecting atrial fibrillation
title_sort survey of current perspectives on consumer-available digital health devices for detecting atrial fibrillation
topic Full Length Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7452829/
https://www.ncbi.nlm.nih.gov/pubmed/32924024
http://dx.doi.org/10.1016/j.cvdhj.2020.06.002
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