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| Title | Year | Objective | Key Message(s) |
|---|---|---|---|
| 2023 | To test the feasibility of postprocedural photoplethysmography (PPG) rhythm telemonitoring during the first week after atrial fibrillation (AF) ablation and its predictive value for later AF recurrence. |
PPG rhythm telemonitoring during the first week after AF ablation often triggered clinical interventions. Due to its high availability, PPG-based follow-up actively involving patients after AF ablation may close a diagnostic and prognostic gap in the blanking period and increase active patient-involvement. |
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| Changes in healthcare utilisation and declarable care products during the implementation of a remote atrial fibrillation management pathway: The TeleCheck-AF project | 2023 | To evaluate changes in healthcare utilisation and declarable care products during the implementation of the TeleCheck-AF approach in a Dutch AF-clinic. |
The implementation of TeleCheck-AF was associated with a change in health care utilisation which resulted in a disproportional drop in reimbursement by health insurances due to a shift in declarable care products weights. Results of this analysis were basis to design a new reimbursement code for the TeleCheck-AF approach in the Netherlands. |
| 2023 |
The current sub-study of the TeleCheck-AF project aimed to provide the first real-world dataset on feasibility and patient experience of this standardized mobile health (mHealth) infrastructure in the clinical setting of follow-up after catheter ablation. |
The TeleCheck-AF approach is feasible and associated with high adherence as well as motivation to use the app and with optimal patient experience. Whether this approach can replace conventional rhythm follow-up after catheter ablation required further study. |
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| Photoplethysmography telemonitoring during the first week after atrial fibrillation ablation: Feasibility and clinical implications | 2022 | To assess the feasibility and clinical implications of PPG telemonitoring specifically during the first week after atrial fibrillation ablation is unknown. | Rhythm monitoring with a PPG-based mHealth application was feasible and often resulted in clinical interventions. Due to its high availability, PPG-based follow-up actively involving patients after AF ablation may close a diagnostic and prognostic gap and increase active patient-involvement |
| Mobile app-based symptom-rhythm correlation assessment in patients with persistent atrial fibrillation | 2022 | To introduce a novel mobile app-based simultaneous symptom and rhythm monitoring approach to assess symptom-rhythm correlation in patients with persistent AF | In persistent AF patients, simultaneous mobile app-based symptom and rhythm monitoring revealed a relatively low overall SRC, which was mainly driven by a majority of AF recordings which were asymptomatic. Extrasystoles can explain a minority of symptomatic non-AF PPG recordings. Pulse rate, but not pulse variability, is the main determinant of reported symptoms during AF and non-AF PPG recordings. Further studies are required to test whether mobile app-based SRC assessment can be implemented in current workflows and integrated into a personalized symptom and rhythm control AF management approach. |
| On-Demand Mobile Health Infrastructure for Remote Rhythm Monitoring within a Wait-and-See Strategy for Recent-Onset Atrial Fibrillation- TeleWAS-AF | 2021 | To describe the implementation of the TeleWAS-AF approach, an on-demand mHealth-based heart rate and rhythm monitoring infrastructure to support a WAS strategy for patients presenting with recent-onset AF at the ED | While maintaining the delivery of comprehensive treatment, the approach has a potential to reduce the burden on EDs and enhance the capacity for health-care utilization. However, given the change in the treatment approach, redesign of care delivery and reimbursement models may be warranted. Obviously, patients’ role in the decision-making process and the communication between patients and the treatment team is crucial. This approach will be implemented in all participating centers of the TeleCheckAF project |
| Impact of photoplethysmography on therapeutic decisions in atrial fibrillation | 2021 | Rapid identification and implementation of remote healthcare delivery methods in time of COVID-19 pandemic. Three months after discharge, and therefore after blanking period, the patient was included in a novel pan-European project TeleCheck-AF, designed to facilitate the remote management of patients with AF | This case highlights the feasibility of PPG applications in monitoring patients after ablation and shows how the results can be used to guide and inform further therapeutic decisions. Whether PPG technology can be used as routine rhythm monitoring for the follow-up after AF ablation warrants further study |
| Post-ablation outcome monitoring using a pulse-deriving smartphone application | 2018 | To investigate whether the implementation of a pulse-deriving smartphone application in this population offers the potential to detect early as well as late recurrence in order to initiate proper treatment in a timely manner. | Pulse-deriving smartphone applications implemented in combination with a structured care path proved to be a promising methodology for short-and long-term outcome monitoring of post-ablation patients and are capable in the detection of silent intermittent atrial fibrillation episodes. |
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