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SHR Neuro Cancer Cardio Lipid Metab Microb
Hermans, ANL; van der Velden, RMJ; Gawalko, M; Verhaert, DVM; Desteghe, L; Duncker, D; Manninger, M; Heidbuchel, H; Pisters, R; Hemels, M; Pison, L; Sohaib, A; Sultan, A; Steven, D; Wijtvliet, P; Tieleman, R; Gupta, D; Dobrev, D; Svennberg, E; Crijns, HJGM; Pluymaekers, NAHA; Hendriks, JM; Linz, D; TeleCheck-AF investigators.
On-demand mobile health infrastructures to allow comprehensive remote atrial fibrillation and risk factor management through teleconsultation.
Clin Cardiol. 2020; 43(11):1232-1239
Doi: 10.1002/clc.23469
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- Co-authors Med Uni Graz
- Manninger-Wünscher Martin
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- Abstract:
- 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). Mobile health (mHealth) solutions can support remote AF management. 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. 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. 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. © 2020 The Authors. Clinical Cardiology published by Wiley Periodicals LLC.
- Find related publications in this database (using NLM MeSH Indexing)
- Atrial Fibrillation - therapy
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- Coronavirus Infections - transmission
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- Infection Control - organization & administration
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