Digital Transformation in the Diagnostics and Therapy of Cardiovascular Diseases: Comprehensive Literature Review

Stremmel, Christopher; Breitschwerdt, Rüdiger

doi:10.2196/44983

Cited by 4 publications

(2 citation statements)

References 155 publications

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“…This aligns with the contemporary shift toward personalized and patient-centric care in cardiovascular medicine [20]. The inclusion of telemedicine interventions (12.56%, n=26) reflects an evolving landscape of holistic and technologically integrated approaches in cardiovascular care [21].…”

Section: Discussionmentioning

confidence: 60%

Women and Cardiovascular Health: Unraveling Gender-Specific Factors, Risks, and Therapeutic Approaches in Contemporary Medicine

Khattak,

Ahmad,

Khan

et al. 2024

Cureus

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Background and objective Cardiovascular diseases (CVDs) constitute a significant global health challenge, causing millions of deaths annually and straining healthcare systems worldwide. This study aimed to investigate and elucidate gender-specific factors, risks, and therapeutic approaches related to cardiovascular health in women within the context of contemporary medicine. Methodology We conducted a prospective observational study spanning one year (November 2022 to October 2023) at the Peshawar Medical Complex Hospital, to meticulously explore the field of women's cardiovascular health. With a diverse cohort of 435 women (age range: 18-55 years), representing various socioeconomic backgrounds and geographic locations, our study aimed to elicit comprehensive insights. Through structured interviews covering reproductive history, lifestyle, and psychosocial aspects, coupled with clinical assessments, we gathered multifaceted data. Statistical analysis was done using SPSS Statistics version 23.0 (IBM Corp., Armonk, NY). By employing descriptive and t-tests for quantitative analysis and by thematically analyzing qualitative insights, our approach ultimately sought to provide a nuanced understanding of gender-specific factors impacting women's cardiovascular health. Results The study, involving 435 women, revealed various prevalent cardiovascular risk factors. Notable findings include a high incidence of a family history of CVD (n=213, 48.96%, p=0.013), hypertension (n=207, 47.58%), hypercholesterolemia (n=114, 26.21%), elevated triglycerides (n=162, 37.24%), and diabetes (n=64, 14.71%). Physical inactivity was also significantly more common (53.56%, p=0.004) compared to those engaging in regular activity. Women-specific risk factors comprised miscarriage (n=191, 43.91%). Therapeutic preferences varied, with a majority opting for lifestyle modifications (n=263, 60.39%) and pharmacological interventions (n=331, 76.33%). Conclusions This study provides a comprehensive understanding of prevalent cardiovascular risk factors, distinctive women-specific contributors, and diverse therapeutic preferences, highlighting the importance of personalized and targeted interventions to optimize women's cardiovascular health outcomes in contemporary medicine.

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Section: Discussionmentioning

confidence: 60%

Women and Cardiovascular Health: Unraveling Gender-Specific Factors, Risks, and Therapeutic Approaches in Contemporary Medicine

Khattak,

Ahmad,

Khan

et al. 2024

Cureus

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“…A range of potential digital technologies have been proposed to address the challenges in diagnosing CVD. 21 One such technology is a 'digital twin'. [22][23][24] Digital twins address the problem that healthcare professionals today are required to assimilate huge amounts of data on each patient (including description of symptoms, medical and medication history, laboratory tests, X-rays and other imaging, physiological measures such as heart rate, blood pressure, ECG, etc) and process these data mentally to arrive at a diagnosis.…”

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confidence: 99%

Stakeholder perspectives on contributors to delayed and inaccurate diagnosis of cardiovascular disease and their implications for digital health technologies: a UK-based qualitative study

Abdullayev,

Gorvett,

Sochiera

et al. 2024

BMJ Open

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ObjectiveThe aim of this study is to understand stakeholder experiences of diagnosis of cardiovascular disease (CVD) to support the development of technological solutions that meet current needs. Specifically, we aimed to identify challenges in the process of diagnosing CVD, to identify discrepancies between patient and clinician experiences of CVD diagnosis, and to identify the requirements of future health technology solutions intended to improve CVD diagnosis.DesignSemistructured focus groups and one-to-one interviews to generate qualitative data that were subjected to thematic analysis.ParticipantsUK-based individuals (N=32) with lived experience of diagnosis of CVD (n=23) and clinicians with experience in diagnosing CVD (n=9).ResultsWe identified four key themes related to delayed or inaccurate diagnosis of CVD: symptom interpretation, patient characteristics, patient–clinician interactions and systemic challenges. Subthemes from each are discussed in depth. Challenges related to time and communication were greatest for both stakeholder groups; however, there were differences in other areas, for example, patient experiences highlighted difficulties with the psychological aspects of diagnosis and interpreting ambiguous symptoms, while clinicians emphasised the role of individual patient differences and the lack of rapport in contributing to delays or inaccurate diagnosis.ConclusionsOur findings highlight key considerations when developing digital technologies that seek to improve the efficiency and accuracy of diagnosis of CVD.

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Exploring barriers and facilitators of implementation of digital technologies in diagnosis of heart disease: a qualitative study of stakeholder perspectives (Preprint)

Abdullayev,

Chico,

Canson

et al. 2024

Preprint

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BACKGROUND Digital technologies are increasingly being implemented in healthcare to improve the quality and efficiency of care for patients. However, the rapid adoption of health technologies over the last five years has failed to adequately consider patient and clinician needs, which results in ineffective implementation. There is also a lack of consideration for the differences between patient and clinician needs, resulting in over generalised approaches to implementation and use of digital health technologies. OBJECTIVE This study aimed to explore barriers and facilitators of implementation of digital technologies in the diagnosis of heart disease for both patients and clinicians and provide recommendations to increase the acceptability of novel health technologies. METHODS We recruited 32 individuals; 23 with lived experience of heart disease and 9 clinicians involved with diagnosis of heart disease. Participants with experience of living with heart took part in semi-structured focused groups, while clinicians undertook one-to-one semi-structured interviews. Inductive thematic analysis using a phenomenological approach was used to analyse the resulting qualitative data and to identify themes. RESULTS Emerging themes were separated into facilitators and barriers, and categorised into resource, technology and user-related themes. Resource-related barriers and facilitators related to clinician workload, system-level influences, cost implications, efficiency and support infrastructure. Technology-related barriers and facilitators included themes related to reliability, accuracy, safety parameters, data security, ease of use and personalisation. Finally, the most prominent themes were the user-related barriers and facilitators, which encompassed user attitudes, individual-level variations, and impact on quality of healthcare experiences. This theme captured a wide variety of perspectives amongst the sample and revealed how patient and clinician attitudes and personal experiences substantially impact engagement with digital health technologies across the cardiovascular care pathway. CONCLUSIONS Our findings highlight the importance of considering both patient and clinician needs and preferences when investigating the barriers and facilitators to effective implementation of digital health technologies considering the increasing reliance on digital health tools to improve quality of care and create a more efficient diagnosis pathway for heart disease. CLINICALTRIAL Not applicable. INTERNATIONAL REGISTERED REPORT RR2-10.1136/bmjopen-2023-072952

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Digital Transformation in the Diagnostics and Therapy of Cardiovascular Diseases: Comprehensive Literature Review

Cited by 4 publications

References 155 publications

Women and Cardiovascular Health: Unraveling Gender-Specific Factors, Risks, and Therapeutic Approaches in Contemporary Medicine

Women and Cardiovascular Health: Unraveling Gender-Specific Factors, Risks, and Therapeutic Approaches in Contemporary Medicine

Stakeholder perspectives on contributors to delayed and inaccurate diagnosis of cardiovascular disease and their implications for digital health technologies: a UK-based qualitative study

Exploring barriers and facilitators of implementation of digital technologies in diagnosis of heart disease: a qualitative study of stakeholder perspectives (Preprint)

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