Use of smartphone technology in cardiology

Nguyen, Hoang H.; Silva, Jennifer N. Avari

doi:10.1016/j.tcm.2015.11.002

Cited by 61 publications

(46 citation statements)

References 44 publications

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“…Second, we did not perform a gold standard 12-lead ECG to confirm our positive screening findings. It is important to note, however, that Alivecor devices are FDA-approved and are widely used by cardiologists in diverse clinical settings [14]. Lastly, our cross-sectional study design limits our ability to assess any potential outcomes associated with atrial fibrillation or characterize the clinical presentation of atrial fibrillation in more detail.…”

Section: Discussionmentioning

confidence: 99%

High Burden of Unrecognized Atrial Fibrillation in Rural India: An Innovative Community-Based Cross-Sectional Screening Program

Soni

Earon²,

Handorf³

et al. 2016

JMIR Public Health Surveill

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BackgroundAtrial fibrillation, the world’s most common arrhythmia, is a leading risk factor for stroke, a disease striking nearly 1.6 million Indians annually. Early detection and management of atrial fibrillation is a promising opportunity to prevent stroke but widespread screening programs in limited resource settings using conventional methods is difficult and costly.ObjectiveThe objective of this study is to screen people for atrial fibrillation in rural western India using a US Food and Drug Administration-approved single-lead electrocardiography device, Alivecor.MethodsResidents from 6 villages in Anand District, Gujarat, India, comprised the base population. After obtaining informed consent, a team of trained research coordinators and community health workers enrolled a total of 354 participants aged 50 years and older and screened them at their residences using Alivecor for 2 minutes on 5 consecutive days over a period of 6 weeks beginning June, 2015.ResultsAlmost two-thirds of study participants were 55 years or older, nearly half were female, one-third did not receive any formal education, and more than one-half were from households earning less than US $2 per day. Twelve participants screened positive for atrial fibrillation yielding a sample prevalence of 5.1% (95% CI 2.7-8.7). Only one participant had persistent atrial fibrillation throughout all of the screenings, and 9 screened positive only once.ConclusionsOur study suggests a prevalence of atrial fibrillation in this Indian region (5.1%) that is markedly higher than has been previously reported in India and similar to the prevalence estimates reported in studies of persons from North America and Europe. Historically low reported burden of atrial fibrillation among individuals from low and middle-income countries may be due to a lack of routine screening. Mobile technologies may help overcome resource limitations for atrial fibrillation screening in underserved and low-resource settings.

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Section: Discussionmentioning

confidence: 99%

High Burden of Unrecognized Atrial Fibrillation in Rural India: An Innovative Community-Based Cross-Sectional Screening Program

Soni

Earon²,

Handorf³

et al. 2016

JMIR Public Health Surveill

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“…Although these essential data can be gathered, there is much room for improving the accuracy of these systems. Various applications that use smartphone in various aspects of cardiology such as remotely monitoring patients and user guidance applications for prevention of cardiac diseases are analysed in the review paper (Nguyen and Silva 2016).…”

Section: Heart and Blood Related Diseases Monitoring Systemsmentioning

confidence: 99%

Remote patient monitoring: a comprehensive study

Malasinghe

Ramzan

Dahal

2017

J Ambient Intell Human Comput

384

180

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“…Medical demand and physicians' opinion are rarely integrated during development of novel HIT solutions. At the same time a growing number of patients use HIT applications to monitor their health and physical conditions in case of various pathological entities [2][3][4] or to inform themselves about their treatment plan [5]. Approaches to improve the effectiveness and trustworthiness of tools for online communication between caregivers and patients have been scientifically examined [6][7][8], displaying a lack of connectivity and interoperability.…”

Section: Present Status and Definitionmentioning

confidence: 99%

Healthcare IT Utilization and Penetration among Physicians: Novel IT Solutions in Healthcare – Use and Acceptance in Hospitals

et al. 2018

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Background: Healthcare IT (HIT) increasingly gains public attention and clinical daily relevance. A growing number of patients and physicians increasingly relies on IT services to monitor and support well-being and recovery both in their private and professional environment. This is assumed to develop rapidly in the upcoming years. Objective: This study examines the current status of HIT, its use and penetration among physicians in hospitals and researches utilization as well as future expectations regarding HIT. Methods: Physicians in Germany, Austria and Switzerland were addressed via e-mail to answer a standardized Internet-based questionnaire consisting of 17 multiple-choice and 3 open text questions. Parameters were evaluated in 5 categories: general use, frequency, acceptance, IT needs and future expectations. Results: An overall 234 physicians (response rate 83.6%) with a median age of 45 (range 25–60) responded and filled out the entire online questionnaire. A significant correlation between parameters gender, age and level of training (resident, specialist, consultant etc.) was proven. The professional, medical employment of technology shows a strong correlation with age as well as level of training. Whereas increasing age among physicians is associated with a decreasing level of application of HIT, a higher training level is accompanied by an increasing level of professional application of IT services and tools within the healthcare context. Routine employment of HIT is regarded as a necessary and positive standard. Most users assume the importance of HIT to strongly grow in the future in comparison to current use. A clear lack of trust towards data security and storage is recognized on both patient and physician sides. Needs are currently satisfied by employing privately acquired IT in the professional setup rather than the hospitals’. Future expectations from HIT show a clear demand for interoperability and exchangeability of data. Conclusions: The results display a clear gap between demand and expectations of IT for medical purposes. The rate of use of HIT applications generally correlates with age, gender as well as role within the hospital and type of employment within the healthcare sector. The current offering does not satisfy the needs of healthcare professionals.

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Use of smartphone technology in cardiology

Cited by 61 publications

References 44 publications

High Burden of Unrecognized Atrial Fibrillation in Rural India: An Innovative Community-Based Cross-Sectional Screening Program

High Burden of Unrecognized Atrial Fibrillation in Rural India: An Innovative Community-Based Cross-Sectional Screening Program

Remote patient monitoring: a comprehensive study

Healthcare IT Utilization and Penetration among Physicians: Novel IT Solutions in Healthcare – Use and Acceptance in Hospitals

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