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Title: | Mobile health solutions for atrial fibrillation detection and management: a systematic review | Authors: | Hermans, Astrid N. L. Gawalko, Monika Dohmen, Lisa van der Velden, Rachel M. J. Betz, Konstanze Duncker, David Verhaert, Dominique V. M. HEIDBUCHEL, Hein Svennberg, Emma Neubeck, Lis Eckstein, Jens Lane, Deirdre A. Lip, Gregory Y. H. Crijns, Harry J. G. M. Sanders, Prashanthan Hendriks, Jeroen Pluymaekers, Nikki A. H. A. Linz, Dominik |
Issue Date: | 2022 | Publisher: | SPRINGER HEIDELBERG | Source: | Clinical research in cardiology (Print), 111 (5) , p. 479-491 | Abstract: | Aim We aimed to systematically review the available literature on mobile Health (mHealth) solutions, including handheld and wearable devices, implantable loop recorders (ILRs), as well as mobile platforms and support systems in atrial fibrillation (AF) detection and management. Methods This systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. The electronic databases PubMed (NCBI), Embase (Ovid), and Cochrane were searched for articles published until 10 February 2021, inclusive. Given that the included studies varied widely in their design, interventions, comparators, and outcomes, no synthesis was undertaken, and we undertook a narrative review. Results We found 208 studies, which were deemed potentially relevant. Of these studies included, 82, 46, and 49 studies aimed at validating handheld devices, wearables, and ILRs for AF detection and/or management, respectively, while 34 studies assessed mobile platforms/support systems. The diagnostic accuracy of mHealth solutions differs with respect to the type (handheld devices vs wearables vs ILRs) and technology used (electrocardiography vs photoplethysmography), as well as application setting (intermittent vs continuous, spot vs longitudinal assessment), and study population. Conclusion While the use of mHealth solutions in the detection and management of AF is becoming increasingly popular, its clinical implications merit further investigation and several barriers to widespread mHealth adaption in healthcare systems need to be overcome. | Notes: | Linz, D (corresponding author), Maastricht Univ, Dept Cardiol, Med Ctr, Cardiovasc Res Inst Maastricht, Maastricht, Netherlands.; Linz, D (corresponding author), Radboud Univ Nijmegen, Dept Cardiol, Radboud Inst Hlth Sci, Med Ctr, Nijmegen, Netherlands.; Linz, D (corresponding author), Univ Adelaide, Ctr Heart Rhythm Disorders, Royal Adelaide Hosp, Adelaide, SA, Australia.; Linz, D (corresponding author), Univ Copenhagen, Fac Hlth & Med Sci, Dept Biomed Sci, Copenhagen, Denmark. dominik.linz@mumc.nl |
Keywords: | Atrial fibrillation;mHealth;Systematic review | Document URI: | http://hdl.handle.net/1942/35955 | ISSN: | 1861-0684 | e-ISSN: | 1861-0692 | DOI: | 10.1007/s00392-021-01941-9 | ISI #: | 000697609900003 | Rights: | The Author(s) 2021. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons. org/licenses/by/4.0/. | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2022 |
Appears in Collections: | Research publications |
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s00392-021-01941-9.pdf | Published version | 2.74 MB | Adobe PDF | View/Open |
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