Telemedicine in Adult Congenital Heart Disease: Usefulness of Digital Health Technology in the Assistance of Critical Patients

Borrelli, Nunzia; Grimaldi, N; Papaccioli, Giovanni; Fusco, Flavia; Palma, Michela; Sarubbi, Berardo

doi:10.3390/ijerph20105775

Cited by 10 publications

(3 citation statements)

References 81 publications

(91 reference statements)

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“…This can help them to have routine checks regularly and get consultations. Primary healthcare physicians and cardiologists can also play a role by working with ACHD specialists to guide them [ 21 ]. Patients should be encouraged to undergo regular monitoring through echocardiograms, blood tests, and other essential tests to detect issues early.…”

Section: Reviewmentioning

confidence: 99%

The Transition of Children Living With Congenital Heart Disease to Adult Care

Tyagi,

Sontakke

2023

Cureus

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The article explores the significance of the timely transition of a child living with congenital heart disease (CHD) to adult care and the role played by multidisciplinary care. Due to recent healthcare advances, more children with CHD survive to adulthood without surgical intervention. This survival is mainly due to the lesion being compatible with life and its management being done medically. However, further management requires meeting the child's needs and helping him transition to become a healthy, independent adult with almost equal life expectancy as his counterparts. The article reviews the comprehensive framework of transition through multidisciplinary care. Highlighting the necessity of training physicians to acquire expertise in the management of CHD is a foundational aspect of this review article. Introduction to transition requires assessment of the child's needs through all phases of life and informative counseling of both parents and child. It highlights the approach to educating patients and families with the knowledge to safeguard compliance. Multidisciplinary collaboration from various fields such as cardiology, pediatric physiatrist, nursing, and psychology has been stressed. Patients also need to cultivate skills in self-management and independence and be educated to comprehend their condition, including the potential health issues. This collaborative and multidisciplinary process necessitates the cooperation of patients, families, and the adult congenital heart disease (ACHD) team. Emphasis has been given to individualized counseling for girls to address their sexual health. The article also highlights the possible obstacles and how to tackle them to improve healthcare adherence. Timely transition and follow-up can be measured using various tools or through indices measuring the quality of life and average life expectancy. The global patterns of transition to ACHD care have also been emphasized, as well as the need for research studies to develop reliable indicators for assessing transition success.

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Section: Reviewmentioning

confidence: 99%

The Transition of Children Living With Congenital Heart Disease to Adult Care

Tyagi,

Sontakke

2023

Cureus

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“…In diabetes management, for instance, continuous glucose monitoring systems integrated with alert features have proven beneficial in facilitating timely intervention, thus enhancing glycemic control and reducing hypoglycemic episodes [20,21,24]. Similarly, in heart disease management, remote patient monitoring systems with personalized alert functions have shown potential in early detection of cardiac anomalies, reducing hospitalization rates, and improving patients' quality of life [22,23]. In the context of chronic respiratory diseases like asthma or COPD (Chronic Obstructive Pulmonary Disease), the emergence of smart inhalers and spirometers that provide real-time feedback and personalized alerts on medication usage and lung function can potentially transform disease management [25].…”

Section: Introductionmentioning

confidence: 99%

A Personalized Alert System for Air-quality Monitoring Based on Lung Functionality: An Observational Pilot Study

Alotaibi¹,

Alnajjar²,

Alsayed³

et al. 2023

Preprint

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Asthma is a chronic respiratory disease that impairs breathing. Management of asthma presents a significant challenge due to its inherent variability; that is, its symptoms can substantially differ among individuals, thereby complicating the prediction and management of exacerbations. Furthermore, individuals with asthma often have unique triggers that precipitate symptoms or attacks. The identification of these triggers can often prove to be a challenging, and at times, an impractical attempt. To address this, our research proposes a practical, personalized alert system, predicated on individual lung function tests conducted under varying environmental conditions classified by air-quality sensors. To validate this concept, we conducted an observational pilot study involving healthy individuals. We recruited twelve healthy participants and monitored their responses across a broad spectrum of environments, characterized by varying air quality, temperature, and humidity conditions. The lung function for each participant, assessed using peak expiratory flow (PEF) values, was recorded in each of these environments. Our results highlighted substantial variability in pulmonary responses to different environments. Utilizing these insights, we proposed a personalized alarm system that provides real-time air-quality monitoring and issues alerts when environmental conditions may potentially become unfavorable. We also explored the feasibility of employing basic machine learning techniques to predict PEF values in the aforementioned environmental conditions. This proposed system has the potential to empower individuals in actively safeguarding their respiratory health and mitigating discomfort caused by environmental conditions, especially in cases of asthma patients. By enabling timely and personalized interventions, the system aims to provide individuals with the necessary tools to minimize exposure to asthma’s possible triggers.

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“… 20 , 21 For heart disease, remote monitoring systems with personalized alerts aid in early cardiac anomaly detection, reducing hospitalizations and improving patient quality of life. 22 , 23 In respiratory diseases like asthma or COPD, smart inhalers and spirometers provide real-time feedback and personalized medication and lung function alerts, potentially transforming management. 24 , 25 This trend highlights a shift towards proactive, individualized chronic disease management emphasizing real-time monitoring and patient engagement.…”

Section: Introductionmentioning

confidence: 99%

An Observational Pilot Study of a Tailored Environmental Monitoring and Alert System for Improved Management of Chronic Respiratory Diseases

Alotaibi,

Alnajjar,

Alsayed

et al. 2023

JMDH

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Objective Chronic lung-related diseases, with asthma being the most prominent example, characterized by diverse symptoms and triggers, present significant challenges in disease management and prediction of exacerbations across patients. This research aimed to devise a practical solution by introducing a personalized alert system tailored to individual lung function and environmental conditions, offering a holistic approach for the management of a range of chronic respiratory conditions. Methods In response to these challenges, we developed a personalized alert system based on individual lung function tests conducted in diverse environmental conditions, as determined by air-quality sensors. Our research was substantiated through an observational pilot study involving twelve healthy participants. These participants were exposed to varying air quality, temperature, and humidity conditions, and their lung function, as indicated by peak expiratory flow (PEF) values, was monitored. Results The study revealed pronounced variability in pulmonary responses across different environments. Leveraging these findings, we proposed a design of a personalized alarm system that monitors air quality in real-time and issues alerts under potentially unfavorable environmental conditions. Additionally, we investigated the use of basic machine learning techniques to predict PEF values in these varied environmental settings. Discussion The proposed system offers a proactive approach for individuals, particularly those with asthma, to actively manage their respiratory health. By providing real-time monitoring and personalized alerts, it aims to minimize exposure to potential asthma triggers. Ultimately, our system seeks to empower individuals with the tools for timely intervention, potentially reducing discomfort and enhancing management of asthma symptoms.

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Telemedicine in Adult Congenital Heart Disease: Usefulness of Digital Health Technology in the Assistance of Critical Patients

Cited by 10 publications

References 81 publications

The Transition of Children Living With Congenital Heart Disease to Adult Care

The Transition of Children Living With Congenital Heart Disease to Adult Care

A Personalized Alert System for Air-quality Monitoring Based on Lung Functionality: An Observational Pilot Study

An Observational Pilot Study of a Tailored Environmental Monitoring and Alert System for Improved Management of Chronic Respiratory Diseases

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