Hermans, Astrid N. L., van der Velden, Rachel M. J., Gawalko, Monika ORCID: 0000-0003-4619-9062, Verhaert, Dominique V. M., Desteghe, Lien, Duncker, David ORCID: 0000-0003-2996-6338, Manninger, Martin, Heidbuchel, Hein, Pisters, Ron, Hemels, Martin, Pison, Laurent, Sohaib, Afzal, Sultan, Arian, Steven, Daniel, Wijtvliet, Petra, Tieleman, Robert, Gupta, Dhiraj ORCID: 0000-0002-3490-090X, Dobrev, Dobromir ORCID: 0000-0002-4612-117X, Svennberg, Emma, Crijns, Harry J. G. M., Pluymaekers, Nikki A. H. A., Hendriks, Jeroen M. and Linz, Dominik ORCID: 0000-0003-4893-0824 (2020). On-demand mobile health infrastructures to allow comprehensive remote atrial fibrillation and risk factor management through teleconsultation. Clin. Cardiol., 43 (11). S. 1232 - 1240. HOBOKEN: WILEY. ISSN 1932-8737

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Abstract

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.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Hermans, Astrid N. L.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
van der Velden, Rachel M. J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gawalko, MonikaUNSPECIFIEDorcid.org/0000-0003-4619-9062UNSPECIFIED
Verhaert, Dominique V. M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Desteghe, LienUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Duncker, DavidUNSPECIFIEDorcid.org/0000-0003-2996-6338UNSPECIFIED
Manninger, MartinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Heidbuchel, HeinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pisters, RonUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hemels, MartinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pison, LaurentUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sohaib, AfzalUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sultan, ArianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Steven, DanielUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wijtvliet, PetraUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Tieleman, RobertUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gupta, DhirajUNSPECIFIEDorcid.org/0000-0002-3490-090XUNSPECIFIED
Dobrev, DobromirUNSPECIFIEDorcid.org/0000-0002-4612-117XUNSPECIFIED
Svennberg, EmmaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Crijns, Harry J. G. M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pluymaekers, Nikki A. H. A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hendriks, Jeroen M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Linz, DominikUNSPECIFIEDorcid.org/0000-0003-4893-0824UNSPECIFIED
URN: urn:nbn:de:hbz:38-315499
DOI: 10.1002/clc.23469
Journal or Publication Title: Clin. Cardiol.
Volume: 43
Number: 11
Page Range: S. 1232 - 1240
Date: 2020
Publisher: WILEY
Place of Publication: HOBOKEN
ISSN: 1932-8737
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
AUSTRALIAN CLINICAL GUIDELINES; NATIONAL HEART FOUNDATION; CARDIAC SOCIETY; TECHNOLOGY; DIAGNOSIS; CAREMultiple languages
Cardiac & Cardiovascular SystemsMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/31549

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