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

PY - 2020

Y1 - 2020

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 - NATIONAL HEART FOUNDATION

KW - CARDIAC SOCIETY

KW - TECHNOLOGY

KW - DIAGNOSIS

KW - CARE

U2 - 10.1002/clc.23469

DO - 10.1002/clc.23469

M3 - Review

C2 - 33030259

VL - 42

SP - 1232

EP - 1239

JO - Clinical Cardiology

JF - Clinical Cardiology

SN - 0160-9289

IS - 11

ER -