Remote monitoring versus conventional follow-up for implantable cardiac devices: Rationale and design of the PORTLink (PORTuguese Research on Telemonitoring with CareLink) trial

Oliveira, Mário; Fernandes, Milene; Primo, João; Reis, Hipólito; Nicola, Paulo

doi:10.1016/j.repce.2013.06.019

Cited by 2 publications

(2 citation statements)

References 26 publications

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“…Система удаленного мониторинга активируется врачом после имплантации устройства, что позволяет с определенной периодичностью получать данные о работе устройства, записи эндограмм, а также «тревожные сообщения» при регистрации жизнеугрожающих аритмий [11,12]. Три истории болезни были исключены из анализа, ввиду неполных данных.…”

Section: материал и методы исследованияunclassified

Atrial fibrillation and stroke risk factors in patients with cardiac implantable electronic devices

Rakhimova

Хайбуллин

Ковальчук

et al. 2021

Vestnik aritmologii

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Purpose. Determination the proportion and burden of new-onset atrial fibrillation (AF) in patients with cardiac implantable electronic devices (CIED) and without prior AF and assessing the incidence of risk factors for stroke in patients with AF.Methods. The medical history of 111 patients with CIED with remote monitoring function were analyzed. AF diagnosed by the device was interpreted by an arrhythmologist and cases of significant AF were selected. The group of patients with and without AF was compared for several factors. To clarify the influence of risk factors on the duration of AF, all AF cases were divided into 3 categories depending on the AF burden per day. The first group included patients with an AF burden per day of 0.1% or less (n=10, (45.5%)), the second - from 0.3% to 12.2% (n=7, (31.8%)), and the third group - with 100% (n=5, (22.7%)). Patients with a burden of 0.2%, 12.3-99.9% were absent.Results. Newly diagnosed AF was registered in 19.8% of cases. The risk of stroke among these patients was high - 2 [1; 3] points on the CHA2 DS2 -VASc for men, and 3 [2,75; 3,75] points for women. Hypertension of 2 and 3 degrees was recorded in all patients in the group with an AF burden of 100% per day. That significantly differed from the other 2 groups (p=0.043). In the group with an AF burden of 100%, the levels of NT-proBNP, D-dimer, and creatinine were significantly higher than in the other groups (p=0.037, p=0.031 and p=0.036, respectively). When analyzing the dependence of creatinine level on the presence of AF, the area under the ROC-curve was 0.653 with 95% confidence interval 0.528-0.779 (p=0.017). The proportion of right ventricular pacing in patients with ICD was higher in the group of patients with AF.Conclusion. AF occurs in 1/5 of patients with CIED. All patients with AF were potential candidates for anticoagulation due to their high risk of stroke. The daily burden of AF is positively correlated with the presence and degree of hypertension, as well as with markers of renal dysfunction, chronic heart failure, and thrombosis. Elevated creatinine levels are a predictor of AF.

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Section: материал и методы исследованияunclassified

Atrial fibrillation and stroke risk factors in patients with cardiac implantable electronic devices

Rakhimova

Хайбуллин

Ковальчук

et al. 2021

Vestnik aritmologii

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“…The rapid development of wireless communication protocols has enabled the development of wireless medical devices [ 5 , 6 ]. Wireless capability refers to the transmission of biomedical information obtained from sensors or embedded systems through a wireless communication channel to a remote medical station or mobile device.…”

Section: Related Workmentioning

confidence: 99%

Smart Multi-Level Tool for Remote Patient Monitoring Based on a Wireless Sensor Network and Mobile Augmented Reality

González

Villegas

Torres-Ramírez

et al. 2014

Sensors

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Technological innovations in the field of disease prevention and maintenance of patient health have enabled the evolution of fields such as monitoring systems. One of the main advances is the development of real-time monitors that use intelligent and wireless communication technology. In this paper, a system is presented for the remote monitoring of the body temperature and heart rate of a patient by means of a wireless sensor network (WSN) and mobile augmented reality (MAR). The combination of a WSN and MAR provides a novel alternative to remotely measure body temperature and heart rate in real time during patient care. The system is composed of (1) hardware such as Arduino microcontrollers (in the patient nodes), personal computers (for the nurse server), smartphones (for the mobile nurse monitor and the virtual patient file) and sensors (to measure body temperature and heart rate), (2) a network layer using WiFly technology, and (3) software such as LabView, Android SDK, and DroidAR. The results obtained from tests show that the system can perform effectively within a range of 20 m and requires ten minutes to stabilize the temperature sensor to detect hyperthermia, hypothermia or normal body temperature conditions. Additionally, the heart rate sensor can detect conditions of tachycardia and bradycardia.

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Remote monitoring versus conventional follow-up for implantable cardiac devices: Rationale and design of the PORTLink (PORTuguese Research on Telemonitoring with CareLink) trial

Cited by 2 publications

References 26 publications

Atrial fibrillation and stroke risk factors in patients with cardiac implantable electronic devices

Atrial fibrillation and stroke risk factors in patients with cardiac implantable electronic devices

Smart Multi-Level Tool for Remote Patient Monitoring Based on a Wireless Sensor Network and Mobile Augmented Reality

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