On-Demand Mobile Health Infrastructure for Remote Rhythm Monitoring within a Wait-and-See Strategy for Recent-Onset Atrial Fibrillation: TeleWAS-AF
Publikation: Bidrag til tidsskrift › Review › Forskning › fagfællebedømt
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On-Demand Mobile Health Infrastructure for Remote Rhythm Monitoring within a Wait-and-See Strategy for Recent-Onset Atrial Fibrillation : TeleWAS-AF. / Pluymaekers, Nikki A.H.A.; Van Der Velden, Rachel M.J.; Hermans, Astrid N.L.; Gawalko, Monika; Buskes, Saskia; Keijenberg, Joyce J.H.M.W.; Vorstermans, Bianca; Crijns, Harry J.G.M.; Hendriks, Jeroen M.; Linz, Dominik.
I: Cardiology, Bind 146, Nr. 3, 2021, s. 392-396.Publikation: Bidrag til tidsskrift › Review › Forskning › fagfællebedømt
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TY - JOUR
T1 - On-Demand Mobile Health Infrastructure for Remote Rhythm Monitoring within a Wait-and-See Strategy for Recent-Onset Atrial Fibrillation
T2 - TeleWAS-AF
AU - Pluymaekers, Nikki A.H.A.
AU - Van Der Velden, Rachel M.J.
AU - Hermans, Astrid N.L.
AU - Gawalko, Monika
AU - Buskes, Saskia
AU - Keijenberg, Joyce J.H.M.W.
AU - Vorstermans, Bianca
AU - Crijns, Harry J.G.M.
AU - Hendriks, Jeroen M.
AU - Linz, Dominik
N1 - Publisher Copyright: © 2021 S. Karger AG. All rights reserved.
PY - 2021
Y1 - 2021
N2 - Recently, we introduced the TeleCheck-AF approach, an on-demand mobile health (mHealth) infrastructure using app-based heart rate and rhythm monitoring for 7 days, to support long-term atrial fibrillation (AF) management through teleconsultation. Herein, we extend the mHealth approach to patients with recent-onset AF at the emergency department (ED). In the proposed TeleWAS-AF approach, on-demand heart rate and rhythm monitoring are used to support a wait-and-see strategy at the ED. All stable patients who present to the ED with recent-onset symptomatic AF and who are able to use mHealth solutions for heart rate and rhythm monitoring are eligible for this approach. Patients will receive both education on AF and instructions on the use of the mHealth technology before discharge from the ED. A case coordinator will subsequently check whether patients are able to activate the mHealth solution and to perform heart rate and rhythm measurements. Forty hours after AF onset, the first assessment teleconsultation with the physician will take place, determining the need for delayed cardioversion. After maximal 7 days of remote monitoring, a second assessment teleconsultation may occur, in which the rhythm can be reassessed and further treatment strategy can be discussed with the patients. This on-demand mHealth prescription increases patient involvement in the care process and treatment decision-making by encouraging self-management, while avoiding excess data-load requiring work-intensive and expensive data management. Implementation of the TeleWAS-AF approach may facilitate the management of AF in the ED and reduce the burden on the ED system, which enhances the capacity for health care utilization.
AB - Recently, we introduced the TeleCheck-AF approach, an on-demand mobile health (mHealth) infrastructure using app-based heart rate and rhythm monitoring for 7 days, to support long-term atrial fibrillation (AF) management through teleconsultation. Herein, we extend the mHealth approach to patients with recent-onset AF at the emergency department (ED). In the proposed TeleWAS-AF approach, on-demand heart rate and rhythm monitoring are used to support a wait-and-see strategy at the ED. All stable patients who present to the ED with recent-onset symptomatic AF and who are able to use mHealth solutions for heart rate and rhythm monitoring are eligible for this approach. Patients will receive both education on AF and instructions on the use of the mHealth technology before discharge from the ED. A case coordinator will subsequently check whether patients are able to activate the mHealth solution and to perform heart rate and rhythm measurements. Forty hours after AF onset, the first assessment teleconsultation with the physician will take place, determining the need for delayed cardioversion. After maximal 7 days of remote monitoring, a second assessment teleconsultation may occur, in which the rhythm can be reassessed and further treatment strategy can be discussed with the patients. This on-demand mHealth prescription increases patient involvement in the care process and treatment decision-making by encouraging self-management, while avoiding excess data-load requiring work-intensive and expensive data management. Implementation of the TeleWAS-AF approach may facilitate the management of AF in the ED and reduce the burden on the ED system, which enhances the capacity for health care utilization.
UR - http://www.scopus.com/inward/record.url?scp=85103308068&partnerID=8YFLogxK
U2 - 10.1159/000514156
DO - 10.1159/000514156
M3 - Review
C2 - 33735889
AN - SCOPUS:85103308068
VL - 146
SP - 392
EP - 396
JO - Cardiologia
JF - Cardiologia
SN - 0008-6312
IS - 3
ER -
ID: 280289073