Implementation of an on-demand app-based heart rate and rhythm monitoring infrastructure for the management of atrial fibrillation through teleconsultation: TeleCheck-AF

Abstract During the coronavirus 2019 (COVID-19) pandemic, outpatient visits in the atrial fibrillation (AF) clinic of the Maastricht University Medical Centre (MUMC+) were transferred into teleconsultations. The aim was to develop anon-demand app-based heart rate and rhythm monitoring infrastructure...

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Veröffentlicht in:Europace (London, England) England), 2021-03, Vol.23 (3), p.345-352
Hauptverfasser: Pluymaekers, Nikki A H A, Hermans, Astrid N L, van der Velden, Rachel M J, Gawałko, Monika, den Uijl, Dennis W, Buskes, Saskia, Vernooy, Kevin, Crijns, Harry J G M, Hendriks, Jeroen M, Linz, Dominik
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container_issue 3
container_start_page 345
container_title Europace (London, England)
container_volume 23
creator Pluymaekers, Nikki A H A
Hermans, Astrid N L
van der Velden, Rachel M J
Gawałko, Monika
den Uijl, Dennis W
Buskes, Saskia
Vernooy, Kevin
Crijns, Harry J G M
Hendriks, Jeroen M
Linz, Dominik
description Abstract During the coronavirus 2019 (COVID-19) pandemic, outpatient visits in the atrial fibrillation (AF) clinic of the Maastricht University Medical Centre (MUMC+) were transferred into teleconsultations. The aim was to develop anon-demand app-based heart rate and rhythm monitoring infrastructure to allow appropriatmanagement of AF through teleconsultation. In line with the fundamental aspects of integrated care, including actively involving patients in the care process and providing comprehensive care by a multidisciplinary team, we implemented a mobile health (mHealth) intervention to support teleconsultations with AF patients: TeleCheck-AF. The TeleCheck-AF approach guarantees the continuity of comprehensive AF management and supports integrated care through teleconsultation during COVID-19. It incorporates three important components: (i) a structured teleconsultation (‘Tele’), (ii) a CE-marked app-based on-demand heart rate and rhythm monitoring infrastructure (‘Check’), and (iii) comprehensive AF management (‘AF’). In this article, we describe the components and implementation of the TeleCheck-AF approach in an integrated and specialized AF-clinic through teleconsultation. The TeleCheck-AF approach is currently implemented in numerous European centres during COVID-19.
doi_str_mv 10.1093/europace/euaa201
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subjects Action Potentials
Atrial Fibrillation - diagnosis
Atrial Fibrillation - physiopathology
Atrial Fibrillation - therapy
COVID-19
Delivery of Health Care, Integrated
Heart Conduction System - physiopathology
Heart Rate
Humans
Mobile Applications
Predictive Value of Tests
Remote Consultation - instrumentation
Reproducibility of Results
Review
Smartphone
title Implementation of an on-demand app-based heart rate and rhythm monitoring infrastructure for the management of atrial fibrillation through teleconsultation: TeleCheck-AF
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