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

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 (mH...

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Autores principales: Hermans, Astrid N. L., van der Velden, Rachel M. J., Gawalko, Monika, Verhaert, Dominique V. M., Desteghe, Lien, Duncker, David, Manninger, Martin, Heidbuchel, Hein, Pisters, Ron, Hemels, Martin, Pison, Laurent, Sohaib, Afzal, Sultan, Arian, Steven, Daniel, Wijtvliet, Petra, Tieleman, Robert, Gupta, Dhiraj, Dobrev, Dobromir, Svennberg, Emma, Crijns, Harry J. G. M., Pluymaekers, Nikki A. H. A., Hendriks, Jeroen M., Linz, Dominik
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wiley Periodicals, Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7661648/
https://www.ncbi.nlm.nih.gov/pubmed/33030259
http://dx.doi.org/10.1002/clc.23469
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author Hermans, Astrid N. L.
van der Velden, Rachel M. J.
Gawalko, Monika
Verhaert, Dominique V. M.
Desteghe, Lien
Duncker, David
Manninger, Martin
Heidbuchel, Hein
Pisters, Ron
Hemels, Martin
Pison, Laurent
Sohaib, Afzal
Sultan, Arian
Steven, Daniel
Wijtvliet, Petra
Tieleman, Robert
Gupta, Dhiraj
Dobrev, Dobromir
Svennberg, Emma
Crijns, Harry J. G. M.
Pluymaekers, Nikki A. H. A.
Hendriks, Jeroen M.
Linz, Dominik
author_facet Hermans, Astrid N. L.
van der Velden, Rachel M. J.
Gawalko, Monika
Verhaert, Dominique V. M.
Desteghe, Lien
Duncker, David
Manninger, Martin
Heidbuchel, Hein
Pisters, Ron
Hemels, Martin
Pison, Laurent
Sohaib, Afzal
Sultan, Arian
Steven, Daniel
Wijtvliet, Petra
Tieleman, Robert
Gupta, Dhiraj
Dobrev, Dobromir
Svennberg, Emma
Crijns, Harry J. G. M.
Pluymaekers, Nikki A. H. A.
Hendriks, Jeroen M.
Linz, Dominik
author_sort Hermans, Astrid N. L.
collection PubMed
description 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.
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spelling pubmed-76616482020-11-17 On‐demand mobile health infrastructures to allow comprehensive remote atrial fibrillation and risk factor management through teleconsultation Hermans, Astrid N. L. van der Velden, Rachel M. J. Gawalko, Monika Verhaert, Dominique V. M. Desteghe, Lien Duncker, David Manninger, Martin Heidbuchel, Hein Pisters, Ron Hemels, Martin Pison, Laurent Sohaib, Afzal Sultan, Arian Steven, Daniel Wijtvliet, Petra Tieleman, Robert Gupta, Dhiraj Dobrev, Dobromir Svennberg, Emma Crijns, Harry J. G. M. Pluymaekers, Nikki A. H. A. Hendriks, Jeroen M. Linz, Dominik Clin Cardiol Reviews 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. Wiley Periodicals, Inc. 2020-10-08 /pmc/articles/PMC7661648/ /pubmed/33030259 http://dx.doi.org/10.1002/clc.23469 Text en © 2020 The Authors. Clinical Cardiology published by Wiley Periodicals LLC. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Reviews
Hermans, Astrid N. L.
van der Velden, Rachel M. J.
Gawalko, Monika
Verhaert, Dominique V. M.
Desteghe, Lien
Duncker, David
Manninger, Martin
Heidbuchel, Hein
Pisters, Ron
Hemels, Martin
Pison, Laurent
Sohaib, Afzal
Sultan, Arian
Steven, Daniel
Wijtvliet, Petra
Tieleman, Robert
Gupta, Dhiraj
Dobrev, Dobromir
Svennberg, Emma
Crijns, Harry J. G. M.
Pluymaekers, Nikki A. H. A.
Hendriks, Jeroen M.
Linz, Dominik
On‐demand mobile health infrastructures to allow comprehensive remote atrial fibrillation and risk factor management through teleconsultation
title On‐demand mobile health infrastructures to allow comprehensive remote atrial fibrillation and risk factor management through teleconsultation
title_full On‐demand mobile health infrastructures to allow comprehensive remote atrial fibrillation and risk factor management through teleconsultation
title_fullStr On‐demand mobile health infrastructures to allow comprehensive remote atrial fibrillation and risk factor management through teleconsultation
title_full_unstemmed On‐demand mobile health infrastructures to allow comprehensive remote atrial fibrillation and risk factor management through teleconsultation
title_short On‐demand mobile health infrastructures to allow comprehensive remote atrial fibrillation and risk factor management through teleconsultation
title_sort on‐demand mobile health infrastructures to allow comprehensive remote atrial fibrillation and risk factor management through teleconsultation
topic Reviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7661648/
https://www.ncbi.nlm.nih.gov/pubmed/33030259
http://dx.doi.org/10.1002/clc.23469
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