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 |
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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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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.</description><identifier>ISSN: 1099-5129</identifier><identifier>ISSN: 1532-2092</identifier><identifier>EISSN: 1532-2092</identifier><identifier>DOI: 10.1093/europace/euaa201</identifier><identifier>PMID: 32887994</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>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</subject><ispartof>Europace (London, England), 2021-03, Vol.23 (3), p.345-352</ispartof><rights>Published on behalf of the European Society of Cardiology. All rights reserved. © The Author(s) 2020. For permissions, please email: journals.permissions@oup.com. 2021</rights><rights>Published on behalf of the European Society of Cardiology. All rights reserved. © The Author(s) 2020. For permissions, please email: journals.permissions@oup.com.</rights><rights>Published on behalf of the European Society of Cardiology. All rights reserved. © The Author(s) 2020. For permissions, please email: journals.permissions@oup.com. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c460t-ee9c2db1b302a51a3230bffb1c192737945a7c23127817b13f3976d3d97be71c3</citedby><cites>FETCH-LOGICAL-c460t-ee9c2db1b302a51a3230bffb1c192737945a7c23127817b13f3976d3d97be71c3</cites><orcidid>0000-0003-4893-0824</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7499572/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7499572/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,1604,27924,27925,53791,53793</link.rule.ids><linktorsrc>$$Uhttps://dx.doi.org/10.1093/europace/euaa201$$EView_record_in_Oxford_University_Press$$FView_record_in_$$GOxford_University_Press</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32887994$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pluymaekers, Nikki A H A</creatorcontrib><creatorcontrib>Hermans, Astrid N L</creatorcontrib><creatorcontrib>van der Velden, Rachel M J</creatorcontrib><creatorcontrib>Gawałko, Monika</creatorcontrib><creatorcontrib>den Uijl, Dennis W</creatorcontrib><creatorcontrib>Buskes, Saskia</creatorcontrib><creatorcontrib>Vernooy, Kevin</creatorcontrib><creatorcontrib>Crijns, Harry J G M</creatorcontrib><creatorcontrib>Hendriks, Jeroen M</creatorcontrib><creatorcontrib>Linz, Dominik</creatorcontrib><title>Implementation of an on-demand app-based heart rate and rhythm monitoring infrastructure for the management of atrial fibrillation through teleconsultation: TeleCheck-AF</title><title>Europace (London, England)</title><addtitle>Europace</addtitle><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.</description><subject>Action Potentials</subject><subject>Atrial Fibrillation - diagnosis</subject><subject>Atrial Fibrillation - physiopathology</subject><subject>Atrial Fibrillation - therapy</subject><subject>COVID-19</subject><subject>Delivery of Health Care, Integrated</subject><subject>Heart Conduction System - physiopathology</subject><subject>Heart Rate</subject><subject>Humans</subject><subject>Mobile Applications</subject><subject>Predictive Value of Tests</subject><subject>Remote Consultation - instrumentation</subject><subject>Reproducibility of Results</subject><subject>Review</subject><subject>Smartphone</subject><issn>1099-5129</issn><issn>1532-2092</issn><issn>1532-2092</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU9v1DAQxS0EoqVw54R8REIp_pOs1xyQqhWllSpxKWdr4kw2hsQOtlOpH4lvibfZVnDiYo88b35vrEfIW87OOdPyIy4xzGCxFACC8WfklDdSVIJp8bzUTOuq4UKfkFcp_WCMKaGbl-REiu1WaV2fkt_X0zzihD5DdsHT0FMop686nMB3FOa5aiFhRweEmGmEjPTQiMN9HiY6Be9yiM7vqfN9hJTjYvMSkfYh0jwgLRjYPzg8wHN0MNLetdGN4-qZhxiW_UAzjmiDT8u4LvOJ3paX3YD2Z3Vx-Zq86GFM-OZ4n5Hvl19ud1fVzbev17uLm8rWG5YrRG1F1_JWMgENBykka_u-5ZZroaTSdQPKCsmF2nLVctlLrTad7LRqUXErz8jnlTsv7YSdLYtHGM0c3QTx3gRw5t-Od4PZhzujaq0bJQrg_REQw68FUzaTSxbLbz2GJRlR16zebBg7SNkqtTGkFLF_suHMHBI2jwmbY8Jl5N3f6z0NPEZaBB9WQVjm_-P-AJ15ueY</recordid><startdate>20210308</startdate><enddate>20210308</enddate><creator>Pluymaekers, Nikki A H A</creator><creator>Hermans, Astrid N L</creator><creator>van der Velden, Rachel M J</creator><creator>Gawałko, Monika</creator><creator>den Uijl, Dennis W</creator><creator>Buskes, Saskia</creator><creator>Vernooy, Kevin</creator><creator>Crijns, Harry J G M</creator><creator>Hendriks, Jeroen M</creator><creator>Linz, Dominik</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-4893-0824</orcidid></search><sort><creationdate>20210308</creationdate><title>Implementation of an on-demand app-based heart rate and rhythm monitoring infrastructure for the management of atrial fibrillation through teleconsultation: TeleCheck-AF</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c460t-ee9c2db1b302a51a3230bffb1c192737945a7c23127817b13f3976d3d97be71c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Action Potentials</topic><topic>Atrial Fibrillation - diagnosis</topic><topic>Atrial Fibrillation - physiopathology</topic><topic>Atrial Fibrillation - therapy</topic><topic>COVID-19</topic><topic>Delivery of Health Care, Integrated</topic><topic>Heart Conduction System - physiopathology</topic><topic>Heart Rate</topic><topic>Humans</topic><topic>Mobile Applications</topic><topic>Predictive Value of Tests</topic><topic>Remote Consultation - instrumentation</topic><topic>Reproducibility of Results</topic><topic>Review</topic><topic>Smartphone</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pluymaekers, Nikki A H A</creatorcontrib><creatorcontrib>Hermans, Astrid N L</creatorcontrib><creatorcontrib>van der Velden, Rachel M J</creatorcontrib><creatorcontrib>Gawałko, Monika</creatorcontrib><creatorcontrib>den Uijl, Dennis W</creatorcontrib><creatorcontrib>Buskes, Saskia</creatorcontrib><creatorcontrib>Vernooy, Kevin</creatorcontrib><creatorcontrib>Crijns, Harry J G M</creatorcontrib><creatorcontrib>Hendriks, Jeroen M</creatorcontrib><creatorcontrib>Linz, Dominik</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Europace (London, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Pluymaekers, Nikki A H A</au><au>Hermans, Astrid N L</au><au>van der Velden, Rachel M J</au><au>Gawałko, Monika</au><au>den Uijl, Dennis W</au><au>Buskes, Saskia</au><au>Vernooy, Kevin</au><au>Crijns, Harry J G M</au><au>Hendriks, Jeroen M</au><au>Linz, Dominik</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Implementation of an on-demand app-based heart rate and rhythm monitoring infrastructure for the management of atrial fibrillation through teleconsultation: TeleCheck-AF</atitle><jtitle>Europace (London, England)</jtitle><addtitle>Europace</addtitle><date>2021-03-08</date><risdate>2021</risdate><volume>23</volume><issue>3</issue><spage>345</spage><epage>352</epage><pages>345-352</pages><issn>1099-5129</issn><issn>1532-2092</issn><eissn>1532-2092</eissn><abstract>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.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>32887994</pmid><doi>10.1093/europace/euaa201</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-4893-0824</orcidid><oa>free_for_read</oa></addata></record> |
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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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