TY - JOUR
T1 - On-demand mobile health infrastructures to allow comprehensive remote atrial fibrillation and risk factor management through teleconsultation
AU - Hermans, Astrid N. L.
AU - van der Velden, Rachel M. J.
AU - Gawalko, Monika
AU - Verhaert, Dominique V. M.
AU - Desteghe, Lien
AU - Duncker, David
AU - Manninger, Martin
AU - Heidbuchel, Hein
AU - Pisters, Ron
AU - Hemels, Martin
AU - Pison, Laurent
AU - Sohaib, Afzal
AU - Sultan, Arian
AU - Steven, Daniel
AU - Wijtvliet, Petra
AU - Tieleman, Robert
AU - Gupta, Dhiraj
AU - Dobrev, Dobromir
AU - Svennberg, Emma
AU - Crijns, Harry J. G. M.
AU - Pluymaekers, Nikki A. H. A.
AU - Hendriks, Jeroen M.
AU - Linz, Dominik
AU - TeleCheck-AF investigators
PY - 2020/11
Y1 - 2020/11
N2 - 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.
AB - 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.
KW - AUSTRALIAN CLINICAL GUIDELINES
KW - CARDIAC SOCIETY
KW - CARE
KW - DIAGNOSIS
KW - NATIONAL HEART FOUNDATION
KW - TECHNOLOGY
KW - VARIABILITY
KW - SLEEP-APNEA SEVERITY
U2 - 10.1002/clc.23469
DO - 10.1002/clc.23469
M3 - Review article
C2 - 33030259
VL - 43
SP - 1232
EP - 1239
JO - Clinical Cardiology
JF - Clinical Cardiology
SN - 0160-9289
IS - 11
ER -