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http://hdl.handle.net/1942/36026
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DC Field | Value | Language |
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dc.contributor.author | Lamberigts, Marie | - |
dc.contributor.author | Van Hoof, Lucas | - |
dc.contributor.author | Proesmans, Tine | - |
dc.contributor.author | VANDERVOORT, Pieter | - |
dc.contributor.author | GRIETEN, Lars | - |
dc.contributor.author | Haemers, Peter | - |
dc.contributor.author | Rega, Filip | - |
dc.date.accessioned | 2021-12-02T19:26:46Z | - |
dc.date.available | 2021-12-02T19:26:46Z | - |
dc.date.issued | 2021 | - |
dc.date.submitted | 2021-11-05T13:22:05Z | - |
dc.identifier.citation | JMIR mhealth and uhealth, 9 (4) , (Art N° e26519) | - |
dc.identifier.uri | http://hdl.handle.net/1942/36026 | - |
dc.description.abstract | Background: Atrial fibrillation (AF) is the most common arrhythmia after cardiac surgery, yet the precise incidence and significance of arrhythmias after discharge home need to be better defined. Photoplethysmography (PPG)-based smartphone apps are promising tools to enable early detection and follow-up of arrhythmias. Objective: By using a PPG-based smartphone app, we aimed to gain more insight into the prevalence of AF and other rhythm-related complications upon discharge home after cardiac surgery and evaluate the implementation of this app into routine clinical care. Methods: In this prospective, single-center trial, patients recovering from cardiac surgery were asked to register their heart rhythm 3 times daily using a Food and Drug Administration-approved PPG-based app, for either 30 or 60 days after discharge home. Patients with permanent AF or a permanent pacemaker were excluded. Results: We included 24 patients (mean age 60.2 years, SD 12 years; 15/23, 65% male) who underwent coronary artery bypass grafting and/or valve surgery. During hospitalization, 39% (9/23) experienced postoperative AF. After discharge, the PPG app reported AF or atrial flutter in 5 patients. While the app notified flutter in 1 patient, this was a false positive, as electrocardiogram revealed a 2nd-degree, 2:1 atrioventricular block necessitating a permanent pacemaker. AF was confirmed in 4 patients (4/23, 17%) and interestingly, was associated with an underlying postoperative complication in 2 participants (pneumonia n=1, pericardial tamponade n=1). A significant increase in the proportion of measurements indicating sinus rhythm was observed when comparing the first to the second month of follow-up (P<.001). In the second month of follow-up, compliance was significantly lower with 2.2 (SD 0.7) measurements per day versus 3.0 (SD 0.8) measurements per day in the first month (P=.002). The majority of participants (17/23, 74%), as well as the surveyed primary care physicians, experienced positive value by using the app as they felt more involved in the postoperative rehabilitation. Conclusions: Implementation of smartphone-based PPG technology enables detection of AF and other rhythm-related complications after cardiac surgery. An association between AF detection and an underlying complication was found in 2 patients. Therefore, smartphone-based PPG technology may supplement rehabilitation after cardiac surgery by acting as a sentinel for underlying complications, rhythm-related or otherwise. | - |
dc.language.iso | en | - |
dc.publisher | JMIR PUBLICATIONS, INC | - |
dc.rights | This is an open-access article distributed under the terms of the Creative Commons Attribution License | - |
dc.subject.other | cardiac surgery; postoperative follow-up; cardiac rehabilitation; | - |
dc.subject.other | postoperative arrhythmias; atrial fibrillation; photoplethysmography; | - |
dc.subject.other | home-monitoring | - |
dc.title | Remote Heart Rhythm Monitoring by Photoplethysmography-Based Smartphone Technology After Cardiac Surgery: Prospective Observational Study | - |
dc.type | Journal Contribution | - |
dc.identifier.issue | 4 | - |
dc.identifier.volume | 9 | - |
local.format.pages | 10 | - |
local.bibliographicCitation.jcat | A1 | - |
dc.description.notes | Lamberigts, M (corresponding author), Univ Hosp Leuven, Dept Cardiac Surg, Herestr 49, B-3000 Leuven, Belgium. | - |
dc.description.notes | marie.lamberigts@kuleuven.be | - |
local.publisher.place | 130 QUEENS QUAY E, STE 1102, TORONTO, ON M5A 0P6, CANADA | - |
local.type.refereed | Refereed | - |
local.type.specified | Article | - |
local.bibliographicCitation.artnr | e26519 | - |
dc.identifier.doi | 10.2196/26519 | - |
dc.identifier.isi | WOS:000708586900004 | - |
dc.contributor.orcid | Van Hoof, Lucas/0000-0003-3960-4568; Lamberigts, | - |
dc.contributor.orcid | Marie/0000-0003-2404-473X | - |
local.provider.type | wosris | - |
local.uhasselt.uhpub | yes | - |
local.description.affiliation | [Lamberigts, Marie; Van Hoof, Lucas; Rega, Filip] Univ Hosp Leuven, Dept Cardiac Surg, Herestr 49, B-3000 Leuven, Belgium. | - |
local.description.affiliation | [Proesmans, Tine; Grieten, Lars] Qompium NV, Hasselt, Belgium. | - |
local.description.affiliation | [Vandervoort, Pieter] Ziekenhuis Oost Limburg, Dept Cardiol, Genk, Belgium. | - |
local.description.affiliation | [Haemers, Peter] Univ Hosp Leuven, Dept Cardiol, Leuven, Belgium. | - |
local.uhasselt.international | no | - |
item.fulltext | With Fulltext | - |
item.accessRights | Open Access | - |
item.fullcitation | Lamberigts, Marie; Van Hoof, Lucas; Proesmans, Tine; VANDERVOORT, Pieter; GRIETEN, Lars; Haemers, Peter & Rega, Filip (2021) Remote Heart Rhythm Monitoring by Photoplethysmography-Based Smartphone Technology After Cardiac Surgery: Prospective Observational Study. In: JMIR mhealth and uhealth, 9 (4) , (Art N° e26519). | - |
item.contributor | Lamberigts, Marie | - |
item.contributor | Van Hoof, Lucas | - |
item.contributor | Proesmans, Tine | - |
item.contributor | VANDERVOORT, Pieter | - |
item.contributor | GRIETEN, Lars | - |
item.contributor | Haemers, Peter | - |
item.contributor | Rega, Filip | - |
crisitem.journal.issn | 2291-5222 | - |
crisitem.journal.eissn | 2291-5222 | - |
Appears in Collections: | Research publications |
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remote.pdf | Published version | 2.05 MB | Adobe PDF | View/Open |
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